Individual provider Active NPI

Kelley May Mesa, MS,RD

  • Registered Dietitian
  • Knoxville, TN
National Provider Identifier
1003310665
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1051125 Issued in CA
Practice address
408 N Cedar Bluff Rd Ste 305
Knoxville, TN 37923-3648
Phone
(805) 465-9802
Fax
(805) 512-8522
NPI assigned
Mar 20, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X 1051125 CA
Pediatric Nutrition Registered Dietitian 133VN1004X 1051125 CA
Renal Nutrition Registered Dietitian 133VN1005X 1051125 CA
Metabolic Nutrition Registered Dietitian 133VN1006X 1051125 CA
Registered Dietitian 133V00000X 1051125 CA Primary

Addresses

Primary practice location

408 N Cedar Bluff Rd Ste 305
Knoxville, TN 37923-3648

Mailing address

408 N Cedar Bluff Rd Ste 305
Knoxville, TN 37923-3648
Phone (805) 465-9802

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4147TNMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1003310665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 N CEDAR BLUFF RD STE 305",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379233648",
            "telephone_number": "805-465-9802",
            "fax_number": "805-512-8522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 N CEDAR BLUFF RD STE 305",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379233648",
            "telephone_number": "805-465-9802",
            "fax_number": "805-512-8522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESA",
        "first_name": "KELLEY MAY",
        "credential": "MS,RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2022-06-08",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "CA",
            "license": "1051125",
            "primary": false
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "CA",
            "license": "1051125",
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "CA",
            "license": "1051125",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "CA",
            "license": "1051125",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "1051125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.