Kelsey Poole, BSN, RDN, BFPC, CHW

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86331398

Practice address

7530 Wildemere St
Detroit, MI 48206-2563

Phone

(313) 573-3175

NPI assigned

Apr 7, 2025

Last updated

Aug 11, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Other names 1

• Kelsey Poole Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing

State licenses

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1134913908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7530 WILDEMERE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482062563",
            "telephone_number": "313-573-3175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7530 WILDEMERE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482062563",
            "telephone_number": "313-573-3175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLE",
        "first_name": "KELSEY",
        "credential": "BSN, RDN, BFPC, CHW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-07",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": null,
            "license": "86331398",
            "primary": false
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": null,
            "license": "86331398",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86331398",
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MI",
            "license": "173571994",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": null,
            "license": "86331398",
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "POOLE",
            "credential": "BSN, RDN, BFPC, CHW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kaylah Ponder, BA, CADC-DP
• J Edson Pontes, MD
• Prathvi Poojary, D.D.S.
• Diana Pool, MA,MS, RSST, CHW
• Akeista Marie Poole
• Pavi Elle Shanell Poole
• Pavadee Poowuttikul, M.D.
• Ligia M. Pop, M.D.
• Lilia Popadiuk, P.A.
• Alexis S Pope, LLBSW

• Registered Dietitian in Detroit, MI
• Providers in Detroit, MI by specialty
• Registered Dietitian in Michigan

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