Active NPI
Kelly Jewell, RD, LD
- Registered Dietitian
- Cincinnati, OH
National Provider Identifier
1063805109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1095465
- Practice address
- 3805 Edwards Rd
Suite 400
Cincinnati, OH 45209-1900 - Phone
- (513) 808-9220
- NPI assigned
- Mar 13, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1095465 | OH | Primary |
Addresses
Primary practice location
3805 Edwards Rd
Suite 400
Cincinnati, OH 45209-1900
Mailing address
3805 Edwards Rd
Suite 400
Cincinnati, OH 45209-1900
Phone (513) 808-9220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 10, 2025 through Jul 10, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1095465 | OH | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426204800000",
"number": "1063805109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3805 EDWARDS RD",
"address_2": "SUITE 400",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452091900",
"telephone_number": "513-808-9220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3805 EDWARDS RD",
"address_2": "SUITE 400",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452091900",
"telephone_number": "513-808-9220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEWELL",
"first_name": "KELLY",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-13",
"last_updated": "2015-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "1095465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.