Active NPI
Courtney Leigh Keith, RD
- Registered Dietitian
- Niceville, FL
National Provider Identifier
1245042936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 11729
- Practice address
- 1501 Partin Dr N Apt 259
Niceville, FL 32578-1471 - Phone
- (678) 327-5794
- NPI assigned
- Jan 21, 2025
- 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 | 11729 | FL | Primary |
Addresses
Primary practice location
1501 Partin Dr N Apt 259
Niceville, FL 32578-1471
Mailing address
1501 Partin Dr N Apt 259
Niceville, FL 32578-1471
Phone (678) 327-5794
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bradley Management LLC | Dietitian, Registered | Past | Accepting new patients |
| Move to Wellness Inc | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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": "1737417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737417600000",
"number": "1245042936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 PARTIN DR N APT 259",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325781471",
"telephone_number": "678-327-5794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 PARTIN DR N APT 259",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325781471",
"telephone_number": "678-327-5794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEITH",
"first_name": "COURTNEY",
"middle_name": "LEIGH",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-21",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "11729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Niceville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.