Kelly Ann Gombert, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN001039 Issued in PA

Practice address

656 Delaware Ave
Palmerton, PA 18071-2003

Phone

(484) 707-4231

NPI assigned

Oct 30, 2017

Last updated

Oct 30, 2017By 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 1

Addresses

Other names 1

• Kelly Ann McGinley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509321600000",
    "number": "1225540321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 FLORA CIR",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182355318",
            "telephone_number": "484-707-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 DELAWARE AVE",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "180712003",
            "telephone_number": "484-707-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMBERT",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "credential": "RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-30",
        "last_updated": "2017-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN001039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "MCGINLEY",
            "middle_name": "ANN",
            "credential": "RDN, LDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy Elizabeth Forte, MPT
• Bonnie Louise Fritz, LPN
• Garry M Carbone MD PC
• Susan Generose, R.D.
• Rhyan A Goldsmith
• Laura M Gower, PA-C
• Rachel Elizabeth Greene, LSW
• Barbara Greenzweig
• Robert B. Grob, D.O.
• Scott Eric Gruber, D.P.M.

• Registered Dietitian in Palmerton, PA
• Providers in Palmerton, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; 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.