Individual provider Active NPI

Kelly Elizabeth Springer, MS, RD, CDN

  • Registered Dietitian
  • Skaneateles, NY
National Provider Identifier
1275969040
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
461385763 Issued in NY
Practice address
6 Hannum Street
Skaneateles, NY 13152
Phone
(315) 730-4459
NPI assigned
Sep 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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 461385763 NY Primary

Addresses

Primary practice location

6 Hannum Street
Skaneateles, NY 13152

Mailing address

6 Hannum St
Skaneateles, NY 13152-1050
Phone (315) 730-4459

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200911000783 NY Practitioner - Registered Dietitian Or Nutrition Professional 5698192540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kellys Choice LLCGroup PAC ID 7517384464, 4 clinicians

Practice addresses (Care Compare)

7 Onondaga St
Skaneateles, NY 13152-1313
Phone (315) 730-4459

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
006749NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly'S Choice, LLC Dietitian, Registered CurrentSince Feb 7, 2020 Accepting new patients
Kelly Springer Dietitian Nutritionist PLLC Dietitian, Registered CurrentSince Apr 29, 2026 Accepting new patients

Locations

1 Colomba Dr
Ste 2
Niagara Falls, NY 14305
Phone (716) 285-3464

1326 New Seneca Tpke
Skaneateles, NY 13152
Phone (315) 710-0080

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1275969040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HANNUM ST",
            "city": "SKANEATELES",
            "state": "NY",
            "postal_code": "131521050",
            "telephone_number": "315-730-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HANNUM STREET",
            "city": "SKANEATELES",
            "state": "NY",
            "postal_code": "13152",
            "telephone_number": "315-730-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRINGER",
        "first_name": "KELLY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "MS, RD, CDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-24",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "461385763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skaneateles, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.