Active NPI
Kathryn Kelly, MS, LDN, RD, CDE
- Registered Dietitian
- South Weymouth, MA
National Provider Identifier
1376777375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 404
- Practice address
- 1221 Main St
Suite 203
South Weymouth, MA 02190-1561 - Phone
- (781) 335-7559
- NPI assigned
- May 6, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 404 | MA | Primary |
Addresses
Primary practice location
1221 Main St
Suite 203
South Weymouth, MA 02190-1561
Mailing address
19 Samuel Woodworth Rd
Norwell, MA 02061-1322
Phone (781) 424-8382
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 404 | MA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors Foot Care Group | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Foot Surgery Podiatrist
- Quincy, MA
- NPI 1447462601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402012800000",
"number": "1376777375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 SAMUEL WOODWORTH RD",
"city": "NORWELL",
"state": "MA",
"postal_code": "020611322",
"telephone_number": "781-424-8382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 MAIN ST",
"address_2": "SUITE 203",
"city": "SOUTH WEYMOUTH",
"state": "MA",
"postal_code": "021901561",
"telephone_number": "781-335-7559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "KATHRYN",
"credential": "MS, LDN, RD, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-06",
"last_updated": "2014-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Weymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.