Active NPI
Kelley May Mesa, MS,RD
- Registered Dietitian
- Knoxville, TN
National Provider Identifier
1003310665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1051125
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4147 | TN | MD | Speech-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.