Active NPI
Kelli Obrien, CNS CANDIDATE
- Nutritionist
- Wilmington, DE
National Provider Identifier
1063274124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- Practice address
- 5 Elsmere Blvd
Wilmington, DE 19805-4105 - Phone
- (540) 809-5784
- NPI assigned
- Jan 24, 2024
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | Primary |
Addresses
Primary practice location
5 Elsmere Blvd
Wilmington, DE 19805-4105
Mailing address
5 Elsmere Blvd
Wilmington, DE 19805-4105
Phone (540) 809-5784
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
- Credentials
- Certified Nurse Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706054400000",
"number": "1063274124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 ELSMERE BLVD",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198054105",
"telephone_number": "540-809-5784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 ELSMERE BLVD",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198054105",
"telephone_number": "540-809-5784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBRIEN",
"first_name": "KELLI",
"credential": "CNS CANDIDATE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-24",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.