Active NPI
Kelly Ann Hiser, RDN, LDN, RD
- Registered Dietitian
- Inverness, IL
National Provider Identifier
1245976901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164005894
- Practice address
- 381 Whispering Pines CT
Inverness, IL 60010 - Phone
- (773) 817-6473
- NPI assigned
- May 6, 2022
- Last updated
- May 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 164005894 | IL | Primary |
Addresses
Primary practice location
381 Whispering Pines CT
Inverness, IL 60010
Mailing address
381 Whispering Pines CT
Inverness, IL 60010
Phone (773) 817-6473
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
- 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 |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651795200000",
"number": "1245976901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "381 WHISPERING PINES CT",
"city": "INVERNESS",
"state": "IL",
"postal_code": "60010",
"telephone_number": "773-817-6473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "381 WHISPERING PINES CT",
"city": "INVERNESS",
"state": "IL",
"postal_code": "60010",
"telephone_number": "773-817-6473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HISER",
"first_name": "KELLY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "RDN, LDN, RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-06",
"last_updated": "2022-05-06",
"certification_date": "2022-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164005894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Inverness, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.