Active NPI
Valerie Kay McKelvey, RD
- Registered Dietitian
- Mansfield, OH
National Provider Identifier
1063789493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 4092
- Practice address
- 681 Park Ave W
Mansfield, OH 44906-3703 - Phone
- (419) 961-8024
- NPI assigned
- Nov 30, 2011
- Last updated
- Nov 30, 2011
- 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 | 4092 | OH | Primary |
Addresses
Primary practice location
681 Park Ave W
Mansfield, OH 44906-3703
Mailing address
75 Stewart Ave S
Mansfield, OH 44906-3233
Phone (419) 961-8024
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4092 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322611200000",
"number": "1063789493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 STEWART AVE S",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449063233",
"telephone_number": "419-961-8024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "681 PARK AVE W",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449063703",
"telephone_number": "419-961-8024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKELVEY",
"first_name": "VALERIE",
"middle_name": "KAY",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-30",
"last_updated": "2011-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "4092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.