Active NPI
Kelly Houston, RDN, LD
- Registered Dietitian
- Glen Carbon, IL
National Provider Identifier
1003209024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2013038254
- Practice address
- 4225 S State Route 159 Ste 2
Glen Carbon, IL 62034-3231 - Phone
- (618) 368-5071
- Fax
- (618) 822-4249
- NPI assigned
- Mar 16, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2013038254 | MO | Primary |
Addresses
Primary practice location
4225 S State Route 159 Ste 2
Glen Carbon, IL 62034-3231
Mailing address
4225 S State Route 159 Ste 2
Glen Carbon, IL 62034-3231
Phone (618) 368-5071
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://spruce.care/confidencenutrition | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013038254 | MO | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Confidence Nutrition Counseling, LLC | Dietitian, Registered | Current | Accepting new patients |
| Christina L Midkiff MD SC | Past | Accepting new patients |
Locations
4225 S State Route 159
Ste 2
Glen Carbon, IL 62034
Phone (618) 368-5071
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Registered Dietitian
- Glen Carbon, IL
- NPI 1518849975
Dietitian, Registered
-
- Specialist
- Maryville, IL
- NPI 1518031558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754438400000",
"number": "1003209024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4225 S STATE ROUTE 159 STE 2",
"city": "GLEN CARBON",
"state": "IL",
"postal_code": "620343231",
"telephone_number": "618-368-5071",
"fax_number": "618-822-4249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4225 S STATE ROUTE 159 STE 2",
"city": "GLEN CARBON",
"state": "IL",
"postal_code": "620343231",
"telephone_number": "618-368-5071",
"fax_number": "618-822-4249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSTON",
"first_name": "KELLY",
"credential": "RDN, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-16",
"last_updated": "2025-08-06",
"certification_date": "2025-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "2013038254",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://spruce.care/confidencenutrition",
"affiliation": "N",
"endpointDescription": "HIPAA-secure messaging app",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "message, phone, fax",
"address_1": "4225 S State Route 159 Ste 2",
"city": "Glen Carbon",
"state": "IL",
"country_code": "US",
"postal_code": "620343231",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Glen Carbon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.