Active NPI
Kyle Keller, RD
- Registered Dietitian
- Redlands, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86303323
- Practice address
- 112 E Olive Ave Ste E
Redlands, CA 92373-5281 - Phone
- (909) 600-2113
- NPI assigned
- Oct 10, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | 86303323 | CA | Primary |
Addresses
Primary practice location
112 E Olive Ave Ste E
Redlands, CA 92373-5281
Mailing address
7155 Citrus Ave Unit 115
Fontana, CA 92336-6001
Phone (909) 900-9655
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2079 Orange Tree LN
Redlands, CA 92374-2849
Phone (757) 585-3441
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86303323 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newbody Inc | Dietitian, Registered | Current | Accepting new patients |
Locations
112 E Olive Ave
Redlands, CA 92373
112 E Olive Ave
Ste E
Redlands, CA 92373
Phone (909) 600-2113
2079 Orange Tree Ln
Redlands, CA 92374
Phone (909) 353-7053
1309 Jamestown Rd
Ste 102
Williamsburg, VA 23185
Phone (757) 220-4917
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": "1665360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745971200000",
"number": "1437874641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7155 CITRUS AVE UNIT 115",
"city": "FONTANA",
"state": "CA",
"postal_code": "923366001",
"telephone_number": "909-900-9655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 E OLIVE AVE STE E",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923735281",
"telephone_number": "909-600-2113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "KYLE",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-10",
"last_updated": "2025-04-30",
"certification_date": "2025-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86303323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.