Kelly Ana Douglass, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

40902-DI-0 Issued in NV

Practice address

8480 S Eastern Ave Ste F
Las Vegas, NV 89123-2822

Phone

(833) 759-8720

Fax

(833) 486-3561

NPI assigned

Aug 21, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 7

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelly.douglass.1@31994.direct.athenahealth.com

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.

• Beyond Wellness PLLC

  • Urgent Care Clinic/Center
  • Las Vegas, NV
  • NPI 1437909777
  Medicare reassignment NPD
• Beyond Wellness PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Las Vegas, NV
  • NPI 1689433492

  Dietitian, Registered

  NPD (past)
• Bee Well Urgent Care LLC

  • Family Medicine Physician
  • Lebanon, TN
  • NPI 1134898992
  NPD (past)
• Cloud Health Medical Group of California, P.C.

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

  • Internal Medicine Physician
  • Union City, NJ
  • NPI 1043995467
  NPD (past)
• Cloud Health Medical Group, P.a.

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

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1104334465

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752969600000",
    "number": "1396578985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 777447",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890777447",
            "telephone_number": "833-759-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8480 S EASTERN AVE STE F",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232822",
            "telephone_number": "833-759-8720",
            "fax_number": "833-486-3561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8905 W Post Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891482429",
            "country_code": "US",
            "telephone_number": "833-759-8720",
            "fax_number": "833-973-4752",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6830 Montgomery Blvd NE Ste B",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871091455",
            "country_code": "US",
            "telephone_number": "833-759-8720",
            "fax_number": "949-864-3527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1695 43rd St S",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581033317",
            "country_code": "US",
            "telephone_number": "833-759-8720",
            "fax_number": "949-864-3528",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9700 N 91st St Ste A115",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852585036",
            "country_code": "US",
            "telephone_number": "833-759-8720",
            "fax_number": "949-864-3199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2741 W Fond Du Lac Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532102624",
            "country_code": "US",
            "telephone_number": "833-759-8720",
            "fax_number": "949-864-3198",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7321 Shadeland Sta Ste 275",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462563964",
            "country_code": "US",
            "telephone_number": "833-759-8720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "991 Southpark Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801205689",
            "country_code": "US",
            "telephone_number": "833-759-8720",
            "fax_number": "949-864-3196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGLASS",
        "first_name": "KELLY",
        "middle_name": "ANA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-21",
        "last_updated": "2025-07-20",
        "certification_date": "2025-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CO",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ND",
            "license": "1733",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NV",
            "license": "40902-DI-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skye Heaven Douglas
• Tiffany Douglas
• Valerie Venetia Douglas
• Albert Douglass
• Alena Douglass
• Sharolyn Renee Douglass
• Doula Life
• Georgia S Dounis, DDS
• Kiki S Dounis, DDS
• Iyonna Leilani Douresseau

• Registered Dietitian in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Registered Dietitian in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2025; 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.