Active NPI
Kelly Ann Rouse, RD LD
- Registered Dietitian
- Cincinnati, OH
National Provider Identifier
1144841255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 996160
- Practice address
- 6614 Pleasant St
Cincinnati, OH 45227-4244 - Phone
- (513) 225-2500
- NPI assigned
- Apr 29, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 996160 | OH | Primary |
Addresses
Primary practice location
6614 Pleasant St
Cincinnati, OH 45227-4244
Mailing address
6614 Pleasant St
Cincinnati, OH 45227-4244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 996160 | Other | OH | RD LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 996160 | OH | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588118400000",
"number": "1144841255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6614 PLEASANT ST",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452274244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6614 PLEASANT ST",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452274244",
"telephone_number": "513-225-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUSE",
"first_name": "KELLY",
"middle_name": "ANN",
"credential": "RD LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-29",
"last_updated": "2020-04-29",
"certification_date": "2020-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "996160",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RD LICENSE",
"identifier": "996160",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.