Kelly Sheppard Loughlin-, MS, RDN, CDCES

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

852172 Issued in CA

Practice address

18865 Vista Portola
Trabuco Canyon, CA 92679-1101

Phone

(760) 641-4129

Fax

(760) 641-4129

NPI assigned

Feb 16, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Mrs. Kelly Sheppard Loughlin Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

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  NPD (past)

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

{
    "created_epoch": "1234742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583539200000",
    "number": "1346489218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18865 VISTA PORTOLA",
            "city": "TRABUCO CANYON",
            "state": "CA",
            "postal_code": "926791101",
            "telephone_number": "760-641-4129",
            "fax_number": "760-641-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18865 VISTA PORTOLA",
            "city": "TRABUCO CANYON",
            "state": "CA",
            "postal_code": "926791101",
            "telephone_number": "760-641-4129",
            "fax_number": "760-641-4129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUGHLIN-",
        "first_name": "KELLY",
        "middle_name": "SHEPPARD",
        "name_prefix": "Mrs.",
        "credential": "MS, RDN, CDCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-16",
        "last_updated": "2020-03-07",
        "certification_date": "2020-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "CA",
            "license": "2031-0259",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "852172",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "852172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDE",
            "identifier": "2031-0259",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDR",
            "identifier": "852172",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://kellyloughlinnutrition.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "18865 Vista Portola",
            "city": "Trabuco Canyon",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926791101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "LOUGHLIN",
            "middle_name": "SHEPPARD",
            "prefix": "MRS.",
            "credential": "MS, RDN, CDCES",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Rayna Michelle Leland, PA-C
• Bryanna Marie Lema
• David Shelby Levitt, DDS
• Filipinas Zarcilla Looper
• Nayely Lisette Lopez
• Hazel Lugartos
• Caley Lynch
• Ingga Subur Mac, RADT
• Cherrie Macmillan
• Stephanie Magnera, PPS

• Registered Dietitian in Trabuco Canyon, CA
• Providers in Trabuco Canyon, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.