Reanna Kelly, MS, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L006247 Issued in NC

Practice address

3204 Livia Cir
Raleigh, NC 27604-4506

Phone

(919) 730-4956

NPI assigned

Jun 3, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Reanna Hawkins Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Harmony Nutriton and Wellness LLC

  • Registered Dietitian
  • Raleigh, NC
  • NPI 1568161842

  Dietitian, Registered

  NPD
• The Charge Group LLC

  • Registered Dietitian
  • Wayne, PA
  • NPI 1548631120

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685318400000",
    "number": "1003482670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4509 CREEDMOOR RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276123813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 LIVIA CIR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276044506",
            "telephone_number": "919-730-4956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4509 Creedmoor Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276123813",
            "country_code": "US",
            "telephone_number": "919-730-4956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "REANNA",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L006247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REANNA",
            "last_name": "HAWKINS",
            "credential": "MS, RD, LDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melissa Talucci Kelly, M.S. CCC/SLP
• Meredith Elliott Kelly, MD
• Michael Walker Kelly, MD
• Monet Jean Kelly, DPT
• Precious Kelly
• Shnella Kelly, LMFTA
• Tarekia Kelly
• Thomas Harold Kelly, MD
• Thomas Vincent Kelly Jr., DDS
• Rashawn Kellyman

• Registered Dietitian in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2023; 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.