Beth Ann Kelly, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN005588 Issued in PA

Practice address

847 Easton Rd Ste 2800
Warrington, PA 18976-2908

Phone

(215) 710-2058

Fax

(215) 710-6465

NPI assigned

Feb 13, 2015

Last updated

Dec 18, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Beth Ann Nugent Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513555200000",
    "number": "1568853471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 829641",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191829641",
            "telephone_number": "215-933-0069",
            "fax_number": "215-933-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 EASTON RD STE 2800",
            "city": "WARRINGTON",
            "state": "PA",
            "postal_code": "189762908",
            "telephone_number": "215-710-2058",
            "fax_number": "215-710-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "BETH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-13",
        "last_updated": "2017-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN005588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "NUGENT",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Evan Kaminsky, RD
• Kathleen Jansen Karn, M.S. CCC-A/SLP
• Brittany A Kastenhuber, M.S., CCC-SLP
• Theodore T Katz, M.D.
• Alexandra Kelly, PHD
• James J Kelly III, COTA/L
• Atiq Urrehman Khan, MD
• Muhammad Maaz Ali Khan, MD
• Ashley Kinard
• Kingsmount Inc.

• Registered Dietitian in Warrington, PA
• Providers in Warrington, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2017; 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.