Kelly Ann Hiser, RDN, LDN, RD
Individual provider Active NPI Registered Dietitian · Inverness, IL
NPI 1245976901 · NPPES record last updated May 6, 2022
Key facts
- NPI
- 1245976901
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 164005894 (IL)
- Practice address
- 381 Whispering Pines CT
Inverness, IL 60010 - Phone
- (773) 817-6473
- NPI assigned
- May 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164005894 | IL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adore Your Core Consulting | Dietitian, Registered | Current |
Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 164005894 | IL | Yes |
Addresses
Primary practice location
381 Whispering Pines CT
Inverness, IL 60010
Mailing address
381 Whispering Pines CT
Inverness, IL 60010
Phone (773) 817-6473
Other providers in Inverness, IL
- Alexandra Freeman
- Gonski Counseling PC
- Theresa L. Grimm
- Amy Guertin
- Brittany Hall
- Ahmed Hussain
- Illinois Med Solutions Co
- Impacting Autism, LLC
- In Sight Wellness LLC
- Inverness Fire Protection District
All providers in Inverness, IL · Registered Dietitian in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.