Kelsey Scot Nicholson

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

13407 15TH St
Grandview, MO 64030-3026

Phone

(913) 609-9900

NPI assigned

Jan 20, 2021

Last updated

Jan 20, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1114517448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13407 15TH ST",
            "city": "GRANDVIEW",
            "state": "MO",
            "postal_code": "640303026",
            "telephone_number": "913-609-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13407 15TH ST",
            "city": "GRANDVIEW",
            "state": "MO",
            "postal_code": "640303026",
            "telephone_number": "913-609-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "KELSEY",
        "middle_name": "SCOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "kelseyscot.co@gmail.com",
            "affiliation": "N",
            "address_1": "13407 15th St",
            "city": "Grandview",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640303026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mahmuda Nasrin
• National Vision Inc (America's Best Contacts & Eyeglasses)
• Natural Birth KC, LLC (Natural Birth KC)
• Phillip Nelson Jr.
• New Hope Home Care Service LLC
• Garrett Wayne Nicol, PT, DPT, ATC
• Amanda Nichole Nieder, NP
• Nileride Corp
• Corynne Nixon, DC
• Nicole Nong

• Registered Dietitian in Grandview, MO
• Providers in Grandview, MO by specialty
• Registered Dietitian in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.