Active NPI
Kelly Kristine Chanay, R.D.
- Registered Dietitian
- Garden City, KS
National Provider Identifier
1477733293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 964
- Practice address
- 1713 Pepperwood CT
Garden City, KS 67846-3775 - Phone
- (620) 275-4794
- NPI assigned
- Nov 8, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 964 | KS | Primary |
| Registered Dietitian | 133V00000X | ND4711 | FL |
Addresses
Primary practice location
1713 Pepperwood CT
Garden City, KS 67846-3775
Mailing address
1713 Pepperwood CT
Garden City, KS 67846-3775
Phone (620) 275-4794
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND4711 | FL | MD | Registered Dietitian |
| 964 | KS | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wuesthoff Memorial Hospital Inc | 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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194480000000",
"number": "1477733293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1713 PEPPERWOOD CT",
"city": "GARDEN CITY",
"state": "KS",
"postal_code": "678463775",
"telephone_number": "620-275-4794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1713 PEPPERWOOD CT",
"city": "GARDEN CITY",
"state": "KS",
"postal_code": "678463775",
"telephone_number": "620-275-4794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANAY",
"first_name": "KELLY",
"middle_name": "KRISTINE",
"name_prefix": "Mrs.",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-08",
"last_updated": "2007-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KS",
"license": "964",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND4711",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.