Kelly Nicole Day Adams, MS, RDN, LD

Individual provider Active NPI Registered Dietitian · Shoreview, MN

NPI 1457044356 · NPPES record last updated Feb 28, 2024

Key facts

NPI: 1457044356
Entity type: Individual (NPI type 1)
Primary specialty: Registered Dietitian 133V00000X
License: 4428 (MN)
Practice address: 4043 Chatsworth St N Unit 328
Shoreview, MN 55126-5502
Phone: (630) 373-0884
NPI assigned: May 29, 2023
Sex: Female
Sole proprietor: Yes

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.

Nourish, Inc. Registered Dietitian · Austin, TX · NPI 1558097824

NPD (past) DIETITIAN, REGISTERED

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Master of Science

State licenses

License	State	Type	Specialty
4428	MN	MD	Registered Dietitian

Practice roles

Organization	Specialty	Status	New patients
Nourish, Inc.	Dietitian, Registered	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Registered Dietitian	133V00000X	4428	MN	Yes

Addresses

Primary practice location

4043 Chatsworth St N Unit 328
Shoreview, MN 55126-5502

Mailing address

4043 Chatsworth St N Unit 328
Shoreview, MN 55126-5502

Other providers in Shoreview, MN

All providers in Shoreview, MN · Registered Dietitian in Minnesota

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.