Active NPI
Sheila Kelly, MS,LD
- Nutritionist
- Accokeek, MD
National Provider Identifier
1134588635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- DI218
- Practice address
- 15705 Henrietta Dr
Accokeek, MD 20607-2059 - Phone
- (240) 429-4969
- Fax
- (301) 203-9677
- NPI assigned
- Feb 12, 2016
- Last updated
- Feb 12, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | DI218 | DC | Primary |
Addresses
Primary practice location
15705 Henrietta Dr
Accokeek, MD 20607-2059
Mailing address
15705 Henrietta Dr
Accokeek, MD 20607-2059
Phone (240) 429-4969
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046790800 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI218 | DC | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455235200000",
"number": "1134588635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15705 HENRIETTA DR",
"city": "ACCOKEEK",
"state": "MD",
"postal_code": "206072059",
"telephone_number": "240-429-4969",
"fax_number": "301-203-9677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15705 HENRIETTA DR",
"city": "ACCOKEEK",
"state": "MD",
"postal_code": "206072059",
"telephone_number": "240-429-4969",
"fax_number": "301-203-9677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "SHEILA",
"credential": "MS,LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-12",
"last_updated": "2016-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "DC",
"license": "DI218",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "046790800",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Accokeek, MD
- Intentional Hope and Healing Counseling Services, LLC (Intentional Hope and Healing)
- J&D Fant Family Services
- Jacl & Associates LLC
- Gabrielle Johnson, LGPC
- Cortney Launa Jordan
- Kimcares Wellness Services, LLC
- Kinpel Medical, PC (RejuVe Medical Group)
- Lucie S Lavarn
- Leander Green (Helping Others Pursue Excellence)
- Alexis Lee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.