Kelsey Phippen, RD, LD, LMNT

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

075686 Issued in IA

Practice address

1745 Madison Ave
Council Bluffs, IA 51503-5249

Phone

(712) 322-9260

NPI assigned

Nov 14, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA, NE2 enrollments

Enrollment records 2

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hy-Vee Health PCGroup PAC ID 1254701618, shared by 8 NPIs, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hy-Vee Health PC

  • Internal Medicine Physician
  • West Des Moines, IA
  • NPI 1558086637
  Medicare reassignment NPD
• Hy-Vee Health PC

  • Internal Medicine Physician
  • Omaha, NE
  • NPI 1184498990
  Medicare reassignment NPD
• Hy-Vee Health PC

  • Registered Dietitian
  • Omaha, NE
  • NPI 1013783950

  Dietitian, Registered

  NPD
• Hy-Vee Health PC

  • Registered Dietitian
  • Des Moines, IA
  • NPI 1396511226

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1265838429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BAYBERRY CIR",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515035401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 MADISON AVE",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515035249",
            "telephone_number": "712-322-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHIPPEN",
        "first_name": "KELSEY",
        "credential": "RD, LD, LMNT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-14",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IA",
            "license": "075686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pharmacy Express Services Inc. (No Frills Pharmacy Express #1)
• Lindsey K Phelps, LMHC
• Philip W. Meyer MD PC
• Elizabeth Anne Phillippi, ARNP
• Isabella Ann Phillips, PA
• Phoenix LLC
• Phoenix LLC
• PHS Council Bluffs, Inc (Prairie Gate)
• Physicians Clinic Inc
• Physicians Clinic, Inc. (Methodist Physicians Clinic)

• Registered Dietitian in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Registered Dietitian in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.