Keri A Kemish, RD, CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

895243 Issued in CT

Practice address

643 Four Rod Rd
Kensington, CT 06037-2279

Phone

(860) 543-9071

NPI assigned

Nov 4, 2024

Sex

Female

Sole proprietor

Yes

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.

• Fay Nutrition

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1104334465

  Dietitian, Registered

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 4, 2024.

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1043033491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 FOUR ROD RD",
            "city": "KENSINGTON",
            "state": "CT",
            "postal_code": "060372279",
            "telephone_number": "860-543-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 FOUR ROD RD",
            "city": "KENSINGTON",
            "state": "CT",
            "postal_code": "060372279",
            "telephone_number": "860-543-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMISH",
        "first_name": "KERI",
        "middle_name": "A",
        "credential": "RD, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "895243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Imossi, D.C.
• Elizabeth Christina Indorf, PA-C
• James R Hegg DMD PC
• James Rogers DDS PC
• John Louis Diakun
• Kensington Family Dental
• Kensington Naturopathic Medical Center
• Eang B. Keo, RPH
• Carol G. Lamson, LCSW
• Ledgecrest Health Care Center Inc.

• All providers in Kensington, CT
• Registered Dietitian in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.

Verify at the official NPI Registry.