Individual provider Active NPI

Kelsey Elizabeth Ruszel, RD

  • Registered Dietitian
  • Concord, CA
National Provider Identifier
1144654377
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
D-785 Issued in ID
Practice address
1225 David Ave Ste 100
Concord, CA 94518-3835
Phone
(925) 238-3307
NPI assigned
Aug 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X D-785 ID Primary

Addresses

Primary practice location

1225 David Ave Ste 100
Concord, CA 94518-3835

Mailing address

1225 David Ave Ste 100
Concord, CA 94518-3835
Phone (925) 238-3307

Other identifiers 1

IdentifierTypeStateIssuer
1144654377MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, TX, CA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20131022001871 ID Practitioner - Registered Dietitian Or Nutrition Professional 7517192834 Reassigns benefits to 1 organization
Practice locations: Garden City, ID
I20251008000324 TX Practitioner - Registered Dietitian Or Nutrition Professional 7517192834 Reassigns benefits to 1 organization
I20260609002541 CA Practitioner - Registered Dietitian Or Nutrition Professional 7517192834 Practice locations: Concord, CA

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Concord, CA 94518
Phone (925) 238-3307

500 Westover Dr
Sanford, NC 27330-8941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nourish, Inc. Dietitian, Registered CurrentSince Sep 22, 2025 Accepting new patients
Kelsey Ruszel, LLC Dietitian, Registered CurrentSince Sep 2, 2025 Accepting new patients
Full Circle Health, Inc. PastSince Feb 1, 2022 Accepting new patients
St Lukes Regional Medical Center PastSince Mar 16, 2018 Accepting new patients

Locations

515 S Flower St
#1015
Los Angeles, CA 90071

9201 W State St
Ste 220
Garden City, ID 83714
Phone (925) 876-1245

500 Westover Dr
Sanford, NC 27330
Phone (478) 766-4000

3724 Jefferson St
Ste 104
Austin, TX 78731
Phone (512) 399-9039

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1144654377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 DAVID AVE STE 100",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945183835",
            "telephone_number": "925-238-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 DAVID AVE STE 100",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945183835",
            "telephone_number": "925-238-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSZEL",
        "first_name": "KELSEY",
        "middle_name": "ELIZABETH",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-23",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ID",
            "license": "D-785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144654377",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.