Individual provider Active NPI

Kellsey Reed, RDN, LDN

  • Registered Dietitian
  • Lansdale, PA
National Provider Identifier
1548788904
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN006675 Issued in PA
Practice address
110 Fieldstone Way
Lansdale, PA 19446-4371
Phone
(215) 692-3696
NPI assigned
Sep 6, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN006675 PA Primary

Addresses

Primary practice location

110 Fieldstone Way
Lansdale, PA 19446-4371

Mailing address

110 Fieldstone Way
Lansdale, PA 19446-4371
Phone (215) 692-3696

Other practice location 1

3701 Market St Ste 100
Philadelphia, PA 19104-5503
Phone (215) 387-2658

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

LicenseStateTypeSpecialty
DN006675PAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Dva Healthcare of Pennsylvania LLC 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1548788904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 FIELDSTONE WAY",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194464371",
            "telephone_number": "215-692-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 FIELDSTONE WAY",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194464371",
            "telephone_number": "215-692-3696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3701 Market St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191045503",
            "country_code": "US",
            "telephone_number": "215-387-2658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REED",
        "first_name": "KELLSEY",
        "name_prefix": "Ms.",
        "credential": "RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN006675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.