Kelly C Desmond, REGISTERED DIETICIAN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

934551 Issued in NC

Practice address

600 Hospital Dr
Monroe, NC 28112-6000

Phone

(980) 993-2880

NPI assigned

Sep 21, 2006

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

Other identifiers 1

Other names 1

• Kelly C Cutillo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Tidewater Kidney Specialists, Inc.

  • Nephrology Physician
  • Norfolk, VA
  • NPI 1053678839
  NPD (past)
• Tidewater Kidney Specialists, Inc.

  • Nephrology Physician
  • Virginia Beach, VA
  • NPI 1780624627
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1124127873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HOSPITAL DR",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281126000",
            "telephone_number": "980-993-2880",
            "fax_number": "980-993-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HOSPITAL DR",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281126000",
            "telephone_number": "980-993-2880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Healing Way",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "281044969",
            "country_code": "US",
            "telephone_number": "980-993-2880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESMOND",
        "first_name": "KELLY",
        "middle_name": "C",
        "credential": "REGISTERED DIETICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "934551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010116147",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "CUTILLO",
            "middle_name": "C",
            "credential": "REGISTERED DIETICIAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Frances L Denmark, LCSW-A , LCAS-A
• Kinena J Dent-Smith
• Dental Excellence
• Victor O Dermid Jr.
• Shirley Derry
• Santhosh Reddy Devarapally, MD
• Dfal Family Care LLC
• Pramesh Dhakal, MD
• Christian Constantine Dias, DO
• Stephanie Horner Dickson, FNP

• Registered Dietitian in Monroe, NC
• Providers in Monroe, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.