Individual provider Active NPI

Kelli Suzanne George, PHD, RDN

  • Registered Dietitian
  • Morgantown, WV
National Provider Identifier
1245119684
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1259 Issued in WV
Practice address
308 Glencoe LN
Morgantown, WV 26508-5828
Phone
(804) 484-4587
NPI assigned
Aug 29, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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 1259 WV Primary

Addresses

Primary practice location

308 Glencoe LN
Morgantown, WV 26508-5828

Mailing address

308 Glencoe LN
Morgantown, WV 26508-5828
Phone (804) 484-4587

Other names 1

  • Dr. Kelli Suzanne George-Steadman Professional name

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
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1756425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1245119684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 GLENCOE LN",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265085828",
            "telephone_number": "804-484-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 GLENCOE LN",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265085828",
            "telephone_number": "804-484-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "KELLI",
        "middle_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "PHD, RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-29",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WV",
            "license": "1259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLI",
            "last_name": "GEORGE-STEADMAN",
            "middle_name": "SUZANNE",
            "prefix": "DR.",
            "credential": "PHD, RDN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.

Verify at the official NPI Registry.