NPIMap

Organization Active NPI

Healthy Weight Nutrition

  • Registered Dietitian
  • Birmingham, AL
National Provider Identifier
1366062010
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
HEALTHY WEIGHT NUTRITION
Practice address
5361 Meadow Brook Rd
Birmingham, AL 35242-3340
Phone
(205) 213-0410
Fax
(251) 299-4030
NPI assigned
Apr 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Authorized official

Name
Kelly West Keyser, MS, RD, LD, CDENPI 1952752164
Title
Registered Dietitian/ Owner
Phone
(205) 213-0410

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

5361 Meadow Brook Rd
Birmingham, AL 35242-3340

Mailing address

5361 Meadow Brook Rd
Birmingham, AL 35242-3340
Phone (205) 213-0410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200811002616 AL Part B Supplier - Clinic/Group Practice 3971929795 Receives reassigned benefits from 4 practitioners
Practice locations: Birmingham, AL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631577600000",
    "number": "1366062010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5361 MEADOW BROOK RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352423340",
            "telephone_number": "205-213-0410",
            "fax_number": "251-299-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5361 MEADOW BROOK RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352423340",
            "telephone_number": "205-213-0410",
            "fax_number": "251-299-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY WEIGHT NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-23",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "KEYSER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "WEST",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN/ OWNER",
        "authorized_official_telephone_number": "205-213-0410",
        "authorized_official_credential": "MS, RD, LD, CDE"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.