Individual provider Active NPI

Keven Vernon Kailey, RD

  • Registered Dietitian
  • Billings, MT
National Provider Identifier
1245016104
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86254282 Issued in MT
Practice address
2900 12TH Ave N
Billings, MT 59101-7506
Phone
(406) 237-8500
NPI assigned
Sep 6, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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 86254282 MT Primary

Addresses

Primary practice location

2900 12TH Ave N
Billings, MT 59101-7506

Mailing address

5216 Clemson Dr
Billings, MT 59106-1521
Phone (406) 581-9502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240118003633 MT Practitioner - Registered Dietitian Or Nutrition Professional 9638521297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2900 12TH Ave N
Suite 315W
Billings, MT 59101-7513
Phone (406) 237-8270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86254282MTMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Health Medical Group - Billings, LLC Dietitian, Registered CurrentSince Nov 19, 2023 Accepting new patients
SCL Health Medical Group - Billings LLC Current Accepting new patients
SCL Health Medical Group - Billings LLC CurrentSince Nov 19, 2023 Accepting new patients

Locations

2900 12th Ave N
Billings, MT 59101
Phone (406) 238-6010

2900 12th Ave N
Ste 160W
Billings, MT 59101
Phone (406) 237-7999

2900 12th Ave N
Ste 315W
Billings, MT 59101
Phone (406) 237-5760

16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205

Organizations & group practices 3

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": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1245016104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5216 CLEMSON DR",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591061521",
            "telephone_number": "406-581-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 12TH AVE N",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591017506",
            "telephone_number": "406-237-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAILEY",
        "first_name": "KEVEN",
        "middle_name": "VERNON",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MT",
            "license": "86254282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.