Kelly Wills Nutrition

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

KELLY WILLS NUTRITION

Practice address

5916 Gran Paseo Way
Atascadero, CA 93422-2726

Phone

(949) 683-9176

NPI assigned

Oct 11, 2024

Organization subpart

No

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

Authorized official

Name

Kelly WillsNPI 1922629385

Title

Registered Dietitian/Owner

Phone

(949) 683-9176

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Wills, MS, RD

  • Registered Dietitian
  • Atascadero, CA
  • NPI 1922629385

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1083434427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 EL CAMINO REAL # 1003",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934221452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5916 GRAN PASEO WAY",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934222726",
            "telephone_number": "949-683-9176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY WILLS NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "WILLS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN/OWNER",
        "authorized_official_telephone_number": "949-683-9176"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Kane, PHD
• Maureen Marie Kaye, RDHAP
• Patricia Keely, LMFT
• Mellie Fay Keene, NP
• Kelsey Ann Kehoe, M.A., L.M.F.T
• Michael Kelly
• Nannon L Kelsall, DPT
• Jessica Kelso, BCBA
• Kelsey Kennedy
• Hannah Juul-Borre Kenyon, MA, MT-BC

• Registered Dietitian in Atascadero, CA
• Providers in Atascadero, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.

Verify at the official NPI Registry.