Kelley Shannon Magill, MS, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

730 N Quidnessett Rd
North Kingstown, RI 02852-1044

Phone

(401) 626-1380

NPI assigned

Oct 13, 2020

Sex

Female

Sole proprietor

No

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.

• Cloud Health Medical Group of California, P.C.

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1194404327
  NPD (past)
• Cloud Health Medical Group, P.a.

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1528744935
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 11, 2020.

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1366040313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 N QUIDNESSETT RD",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028521044",
            "telephone_number": "401-626-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N QUIDNESSETT RD",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028521044",
            "telephone_number": "401-626-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGILL",
        "first_name": "KELLEY",
        "middle_name": "SHANNON",
        "credential": "MS, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen B Lysaght, MSN RNCS APRN
• Kristie Marie Machado
• John Joseph Machata, MD
• Venita Maciel
• Marie Louise Madden, LICSW
• Lisa S Maleiko
• Ian Thomas Manning, M.S.P.T.
• Abigail K. Mansfield Marcaccio, PH.D.
• Maria Eguia-Brusco, PH.D LTD.
• Martha Dempster, Licsw, LLC

• All providers in North Kingstown, RI
• Registered Dietitian in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.