Individual provider Active NPI

Kamilia Kailany, RDN, LDN

  • Registered Dietitian
  • El Paso, TX
National Provider Identifier
1417588070
Registry record updated May 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT89696 Issued in TX
Practice address
945 S Mesa Hills Dr
El Paso, TX 79912-5122
Phone
(575) 650-4404
NPI assigned
Jan 31, 2020
Last updated
May 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT89696 TX Primary

Addresses

Primary practice location

945 S Mesa Hills Dr
El Paso, TX 79912-5122

Mailing address

945 S Mesa Hills Dr
El Paso, TX 79912-5122
Phone (575) 650-4404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ, CO, NJ4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20251113004141 TX Practitioner - Registered Dietitian Or Nutrition Professional 3375034713 Reassigns benefits to 1 organization
I20251114001645 AZ Practitioner - Registered Dietitian Or Nutrition Professional 3375034713 Reassigns benefits to 1 organization
I20251114001806 CO Practitioner - Registered Dietitian Or Nutrition Professional 3375034713 Reassigns benefits to 1 organization
I20251114003204 NJ Practitioner - Registered Dietitian Or Nutrition Professional 3375034713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1710 Keller Pkwy
Suite 6565
Keller, TX 76248-3749

2021 Bluff Creek St
Apt 302
El Paso, TX 79911-2254

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DT89696TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Surely Health, Inc. Dietitian, Registered CurrentSince Dec 1, 2025 Accepting new patients
Season Clinical Care P.a. Dietitian, Registered CurrentSince Dec 1, 2025 Accepting new patients
Season Clinical Care NJ PC Dietitian, Registered CurrentSince Dec 1, 2025 Accepting new patients
Cloud Health Medical Group of New Jersey, P.C. Past Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients

Locations

130 E Congress St
Ste 200139
Tucson, AZ 85701
Phone (724) 307-5926

102 S Tejon St
Ste 100
Colorado Springs, CO 80903
Phone (970) 319-2999

1719 Highway 10
Parsippany, NJ 07054

1719 Highway 10
Ste 300
Parsippany, NJ 07054

6565 N MacArthur Blvd
Ste 225
Irving, TX 75039
Phone (469) 395-8402

1710 Keller Pkwy
Keller, TX 76248
Phone (210) 201-2364

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748044800000",
    "number": "1417588070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 S MESA HILLS DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125122",
            "telephone_number": "575-650-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 S MESA HILLS DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125122",
            "telephone_number": "575-650-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAILANY",
        "first_name": "KAMILIA",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-31",
        "last_updated": "2025-05-24",
        "certification_date": "2025-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT89696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2025; 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.