Active NPI
Kylie Anne McKenzie, MS RDN LDN
- Registered Dietitian
- Philadelphia, PA
National Provider Identifier
1437774890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN006950
- Practice address
- 800 Admirals Way Unit 1841
Philadelphia, PA 19146-5241 - Phone
- (215) 280-7238
- NPI assigned
- Jun 11, 2020
- 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 | DN006950 | PA | Primary |
Addresses
Primary practice location
800 Admirals Way Unit 1841
Philadelphia, PA 19146-5241
Mailing address
800 Admirals Way Unit 1841
Philadelphia, PA 19146-5241
Phone (215) 280-7238
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN006950 | PA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704585600000",
"number": "1437774890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 ADMIRALS WAY UNIT 1841",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191465241",
"telephone_number": "215-280-7238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 ADMIRALS WAY UNIT 1841",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191465241",
"telephone_number": "215-280-7238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENZIE",
"first_name": "KYLIE",
"middle_name": "ANNE",
"credential": "MS RDN LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-11",
"last_updated": "2024-01-07",
"certification_date": "2024-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN006950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.