Mary Ann Kelly, RD
Individual provider Active NPI Registered Dietitian · Simpson, PA
NPI 1346340445 · NPPES record last updated Oct 27, 2025
Key facts
- NPI
- 1346340445
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- DN000257 (PA)
- Practice address
- 705 Main St
Simpson, PA 18407-1215 - Phone
- (570) 955-7133
- NPI assigned
- Sep 25, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 816228 | NY | MD | Registered Dietitian |
| DN000257 | PA | MD | Registered Dietitian |
| 5379 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| United Health Services Hospitals, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DN000257 | PA | Yes |
| Registered Dietitian | 133V00000X | |||
| Registered Dietitian | 133V00000X | 816228 | NY |
Addresses
Primary practice location
705 Main St
Simpson, PA 18407-1215
Mailing address
705 Main St
Simpson, PA 18407-1215
Phone (570) 955-7133
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346340445 | Medicaid | NY | |
| 1346340445 | Other | NY | NUTRITION |
Other names
- Mary Ann Prokarym
Other providers in Simpson, PA
- Care Connects
- Cecelia Cortes
- Carli R Gaynor
- Jason Edward Jablonowski
- Joseph W Scotchlas Funeral Home Inc.
- Vanessa Rusin
- The Retreat at White Birch LLC
All providers in Simpson, PA · Registered Dietitian in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.