Keli Ann Beres, MS, CNS, LDN

Primary specialty

NutritionistTaxonomy code 133N00000X

Practice address

10572 Gateridge Rd
Cockeysville, MD 21030-2839

Phone

(443) 421-1193

NPI assigned

Mar 17, 2019

Last updated

Mar 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Core Value Corporation

  dba Southern Maryland Dietitian

  • Registered Dietitian
  • White Plains, MD
  • NPI 1265961247

  Dietitian, Registered

  Medicare reassignment NPD (past)
• Wellness Dragonfly Corporation

  • Nutritionist
  • Cockeysville, MD
  • NPI 1417624024
  NPD Authorized official
• Wellness Dragonfly LLC

  • Nutritionist
  • Cockeysville, MD
  • NPI 1730983719
  NPD Authorized official

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

{
    "created_epoch": "1552780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1386103653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10572 GATERIDGE RD",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210302839",
            "telephone_number": "443-810-7184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10572 GATERIDGE RD",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210302839",
            "telephone_number": "443-421-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERES",
        "first_name": "KELI",
        "middle_name": "ANN",
        "credential": "MS, CNS, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-17",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica A Baumgartner, P.T.A.
• Jeremiah Beauvilet, OPTICIAN
• Lisa Randi Beck
• Maryam Beklik, CRNA
• Benavent Dental Cockeysville
• Kasie Bey Keys
• BF Dentistry, LLC
• Birely Counseling Services, LLC
• Erin Birely, LCPC
• Erick H Bjorum, CAC-AD

• Nutritionist in Cockeysville, MD
• Providers in Cockeysville, MD by specialty
• Nutritionist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.