Active NPI
Kelsey Riesbeck, RD
- Registered Dietitian
- Westport, CT
National Provider Identifier
1487327243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1717
- Practice address
- 8 Myrtle Ave
Westport, CT 06880-3511 - Phone
- (203) 916-4673
- NPI assigned
- Jul 28, 2021
- 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 | 1717 | CT | Primary |
Addresses
Primary practice location
8 Myrtle Ave
Westport, CT 06880-3511
Mailing address
41 Cortland Dr
Tolland, CT 06084-2157
Phone (860) 944-5590
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1717 | CT | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627430400000",
"number": "1487327243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 CORTLAND DR",
"city": "TOLLAND",
"state": "CT",
"postal_code": "060842157",
"telephone_number": "860-944-5590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 MYRTLE AVE",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068803511",
"telephone_number": "203-916-4673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIESBECK",
"first_name": "KELSEY",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-28",
"last_updated": "2021-07-28",
"certification_date": "2021-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "1717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.