Kelly Jean Duncombe, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164004344 Issued in IL

Practice address

1010 W Golf Rd
Libertyville, IL 60048-3054

Phone

(847) 875-7032

NPI assigned

Oct 12, 2021

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 IL

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health Loft PLLCGroup PAC ID 3274866371, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Health Loft PLLC

  • Registered Dietitian
  • Chicago, IL
  • NPI 1912461799

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD
• Health Loft Services LLC

  • Registered Dietitian
  • Portland, OR
  • NPI 1013767839

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1336801810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W GOLF RD",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483054",
            "telephone_number": "847-875-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W GOLF RD",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483054",
            "telephone_number": "847-875-7032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCOMBE",
        "first_name": "KELLY",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164004344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adele Rose Duba-Nagel
• Ramona Kaunas Duff
• Victoria Marie Dukharan
• Soni Aileen Dumelle
• John Vinyard Duncombe, PT
• Darius Villarama Dungca, P.T.
• Maria R Dungca, P.T.
• Colleen Dunn
• Nancy Ann Dunsey, LCPC
• Matthew Abel Duran

• Registered Dietitian in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.