Active NPI
Kelly Scott, RDN
- Registered Dietitian
- Yakima, WA
National Provider Identifier
1043975261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 875078
- Practice address
- 717 Fruitvale Blvd
Yakima, WA 98902-1465 - Phone
- (509) 966-0199
- NPI assigned
- Nov 2, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 875078 | Primary |
Addresses
Primary practice location
717 Fruitvale Blvd
Yakima, WA 98902-1465
Mailing address
2702 Summitview Ave
Yakima, WA 98902-2354
Phone (509) 594-6564
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635811200000",
"number": "1043975261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2702 SUMMITVIEW AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989022354",
"telephone_number": "509-594-6564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 FRUITVALE BLVD",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989021465",
"telephone_number": "509-966-0199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "KELLY",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-02",
"last_updated": "2021-11-02",
"certification_date": "2021-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "875078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.