Kelly V Tsougas, M.S., R.D., L.D.N

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164008832 Issued in IL

Practice address

5410 S Ashcroft Way
Meridian, ID 83642-6866

Phone

(919) 601-3919

Fax

(919) 705-1626

NPI assigned

Mar 16, 2010

Last updated

Jul 20, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 7

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• R2MS Wellness

  • Registered Dietitian
  • Meridian, ID
  • NPI 1134986706

  Dietitian, Registered

  NPD Authorized official
• Project Well, Inc.

  dba NourishedRx

  • Registered Dietitian
  • Stamford, CT
  • NPI 1508556416
  Medicare reassignment
• Fay Nutrition

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1104334465

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1255655569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 S ASHCROFT WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426866",
            "telephone_number": "919-601-3919",
            "fax_number": "919-705-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 S ASHCROFT WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426866",
            "telephone_number": "919-601-3919",
            "fax_number": "919-705-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSOUGAS",
        "first_name": "KELLY",
        "middle_name": "V",
        "credential": "M.S., R.D., L.D.N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-16",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ID",
            "license": "D-1494",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "93306",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NV",
            "license": "40194-DI-0",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L003573",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "59.003273",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KS",
            "license": "2713",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164008832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard A Trump, PA-C
• Gladys Nyle Rallos Truong, BSN, RN
• Sergey Tsema, OTR
• Gretchen Elizabeth Tseng, FNTP, CFNS
• Emmerance Tshite
• Jenna Elizabeth Tucher, PA
• Amy J Tucker, LPC
• Sarah Tucker
• Sonya Tucker
• Morgan Anne Jenson Tueller

• Registered Dietitian in Meridian, ID
• Providers in Meridian, ID by specialty
• Registered Dietitian in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.