Active NPI
Kelsey Bird, RD
- Registered Dietitian
- Layton, UT
National Provider Identifier
1154829109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 115284934901
- Practice address
- 1916 N 700 W Ste 250
Layton, UT 84041-5723 - Phone
- (801) 479-0312
- NPI assigned
- Jan 24, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86049941 | UT | |
| Registered Dietitian | 133V00000X | 115284934901 | UT | Primary |
Addresses
Primary practice location
1916 N 700 W Ste 250
Layton, UT 84041-5723
Mailing address
PO Box 5546
Denver, CO 80217-5546
Phone (801) 475-3500
Other practice location 1
1116 E 3250 N
North Ogden, UT 84414-1842
Phone (719) 232-9567
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154829109 | Medicaid | UT |
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 |
|---|---|---|---|
| 115284934901 | UT | MD | Registered Dietitian |
| 86049941 | UT | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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": "1516752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617062400000",
"number": "1154829109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5546",
"city": "DENVER",
"state": "CO",
"postal_code": "802175546",
"telephone_number": "801-475-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1916 N 700 W STE 250",
"city": "LAYTON",
"state": "UT",
"postal_code": "840415723",
"telephone_number": "801-479-0312"
}
],
"practiceLocations": [
{
"address_1": "1116 E 3250 N",
"address_purpose": "LOCATION",
"city": "North Ogden",
"state": "UT",
"postal_code": "844141842",
"country_code": "US",
"telephone_number": "719-232-9567",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BIRD",
"first_name": "KELSEY",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-24",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "UT",
"license": "86049941",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "UT",
"license": "115284934901",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1154829109",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Layton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.