Active NPI
Kylie Keller, MS, RD, LD
- Registered Dietitian
- Ogallah, KS
National Provider Identifier
1013362730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1035502
- Practice address
- 32028 P Rd
Ogallah, KS 67656-9652 - Phone
- (620) 285-5071
- NPI assigned
- May 2, 2016
- Last updated
- Apr 25, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1035502 | KS | Primary |
| Sports Dietetics Nutrition Registered Dietitian | 133VN1501X | NU |
Addresses
Primary practice location
32028 P Rd
Ogallah, KS 67656-9652
Mailing address
32028 P Rd
Ogallah, KS 67656-9652
Phone (620) 285-5071
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 |
|---|---|---|---|
| 1035502 | KS | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714003200000",
"number": "1013362730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32028 P RD",
"city": "OGALLAH",
"state": "KS",
"postal_code": "676569652",
"telephone_number": "620-285-5071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32028 P RD",
"city": "OGALLAH",
"state": "KS",
"postal_code": "676569652",
"telephone_number": "620-285-5071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "KYLIE",
"credential": "MS, RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-02",
"last_updated": "2024-04-25",
"certification_date": "2024-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KS",
"license": "1035502",
"primary": true
},
{
"code": "133VN1501X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ogallah, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.