Kelly Williams, MS, CNS, LDN

Primary specialty

NutritionistTaxonomy code 133N00000X

License

DX5092 Issued in MD

Practice address

6040 Public Landing Rd
Snow Hill, MD 21863-2453

Phone

(410) 632-1100

Fax

(410) 632-0080

NPI assigned

Aug 10, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Worcester County Health Department 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Master of Science

Practice roles

Locations

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.

• Worcester County Health Department

  • Public Health or Welfare Agency
  • Snow Hill, MD
  • NPI 1003868076

  MD

  Medicare reassignment Care Compare group NPD
• Worcester County Health Department

  • Community/Behavioral Health Agency
  • Berlin, MD
  • NPI 1881992220
  NPD
• Worcester County Health Department

  • Public Health or Welfare Agency
  • Snow Hill, MD
  • NPI 1982269098
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1083225577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9425 LAKE VIEW DR",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218112725",
            "telephone_number": "443-257-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 PUBLIC LANDING RD",
            "city": "SNOW HILL",
            "state": "MD",
            "postal_code": "218632453",
            "telephone_number": "410-632-1100",
            "fax_number": "410-632-0080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9425 Lake View Dr",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "MD",
            "postal_code": "218112725",
            "country_code": "US",
            "telephone_number": "443-257-6868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KELLY",
        "credential": "MS, CNS, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-10",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MD",
            "license": "DX5092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefanie Wessells
• Betty Faye Wheatley
• Briana Nicole White
• Courtney Michele White, LMSW
• Summer Brooke Widmyer
• Kathryn Joan Wool, RD,LDN
• Worcester County Commission on Aging, Inc.
• Worcester County Health Department
• Worcester County Health Department
• Worcester County Health Department

• All providers in Snow Hill, MD
• Nutritionist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.