Individual provider Active NPI

Kelly Houston, RDN, LD

  • Registered Dietitian
  • Glen Carbon, IL
National Provider Identifier
1003209024
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2013038254 Issued in MO
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

Updated by the provider on Aug 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
2013038254MOMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Confidence Nutrition Counseling, LLC Dietitian, Registered CurrentSince Aug 10, 2025 Accepting new patients
Christina L Midkiff MD SC PastSince Jul 1, 2022 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.

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.

Verify at the official NPI Registry.