Active NPI
Kelly Combs, RDN, LDN
- Registered Dietitian
- State College, PA
National Provider Identifier
1336619287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 100 Jefferson Ave Ste 113
State College, PA 16801-8703 - Phone
- (717) 398-8157
- NPI assigned
- Dec 4, 2018
- Sex
- Female
- Sole proprietor
- No
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 | PA | Primary |
Addresses
Primary practice location
100 Jefferson Ave Ste 113
State College, PA 16801-8703
Mailing address
100 Jefferson Ave Ste 113
State College, PA 16801-8703
Phone (717) 398-8157
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543881600000",
"number": "1336619287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 JEFFERSON AVE STE 113",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168018703",
"telephone_number": "717-398-8157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 JEFFERSON AVE STE 113",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168018703",
"telephone_number": "717-398-8157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMBS",
"first_name": "KELLY",
"credential": "RDN, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-04",
"last_updated": "2018-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in State College, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.