Active NPI
Kerri-Ann Doreen Henry, RDN
- Registered Dietitian
- Largo, FL
National Provider Identifier
1558153585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND14332
- Practice address
- 11111 Belcher Rd S
Largo, FL 33773-5204 - Phone
- (650) 409-5705
- NPI assigned
- May 17, 2025
- Last updated
- Oct 27, 2025
- 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 | ND14332 | FL | Primary |
Addresses
Primary practice location
11111 Belcher Rd S
Largo, FL 33773-5204
Mailing address
1201 Seminole Blvd Apt 357
Largo, FL 33770-8148
Phone (754) 367-8294
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 |
|---|---|---|---|
| ND14332 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | 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": "1747440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761523200000",
"number": "1558153585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 SEMINOLE BLVD APT 357",
"city": "LARGO",
"state": "FL",
"postal_code": "337708148",
"telephone_number": "754-367-8294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11111 BELCHER RD S",
"city": "LARGO",
"state": "FL",
"postal_code": "337735204",
"telephone_number": "650-409-5705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "KERRI-ANN",
"middle_name": "DOREEN",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-17",
"last_updated": "2025-10-27",
"certification_date": "2025-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND14332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.