Active NPI
Kahli J Brubaker Peachey, RD
- Registered Dietitian
- Belleville, PA
National Provider Identifier
1467095208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86076182
- Practice address
- 6447 State Route 655
Belleville, PA 17004-9249 - Phone
- (717) 437-5000
- NPI assigned
- Oct 24, 2019
- Last updated
- Oct 24, 2019
- 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 | 86076182 | NU | Primary |
Addresses
Primary practice location
6447 State Route 655
Belleville, PA 17004-9249
Mailing address
6447 State Route 655
Belleville, PA 17004-9249
Phone (717) 437-5000
Other practice location 1
50 LeRoy St
Potsdam, NY 13676-1786
Phone (315) 265-3300
Other practice location 2
7814 Carousel Ln Ste 210
Richmond, VA 23294-4212
Phone (804) 545-9162
Other names 1
- Kahli J Peachey
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dietitians on Demand, LLC | 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, 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": "1571875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571875200000",
"number": "1467095208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6447 STATE ROUTE 655",
"city": "BELLEVILLE",
"state": "PA",
"postal_code": "170049249",
"telephone_number": "717-437-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6447 STATE ROUTE 655",
"city": "BELLEVILLE",
"state": "PA",
"postal_code": "170049249",
"telephone_number": "717-437-5000"
}
],
"practiceLocations": [
{
"address_1": "50 LeRoy St",
"address_purpose": "LOCATION",
"city": "Potsdam",
"state": "NY",
"postal_code": "136761786",
"country_code": "US",
"telephone_number": "315-265-3300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7814 Carousel Ln Ste 210",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232944212",
"country_code": "US",
"telephone_number": "804-545-9162",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRUBAKER PEACHEY",
"first_name": "KAHLI",
"middle_name": "J",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-24",
"last_updated": "2019-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": "86076182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAHLI",
"last_name": "PEACHEY",
"middle_name": "J",
"credential": "RD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Belleville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.