Individual provider Active NPI

Kelli L Janowski

  • Registered Dietitian
  • Wilmington, DE
National Provider Identifier
1598068025
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN-0000211 Issued in DE
Practice address
YMCA Association Office
100 West 10TH Street, Suite 1100
Wilmington, DE 19801
Phone
(302) 221-9622
NPI assigned
Dec 6, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X DE
Registered Dietitian 133V00000X DN-0000211 DE Primary

Addresses

Primary practice location

YMCA Association Office
100 West 10TH Street, Suite 1100
Wilmington, DE 19801

Mailing address

YMCA Association Office
100 West 10TH Street, Suite 1100
Wilmington, DE 19801
Phone (302) 221-9622

Other practice location 1

66 East Ave
Suite C
Woodstown, NJ 08098-1417
Phone (856) 339-6014

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL WELLD Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Medical Professionals PC PastSince Sep 1, 2015 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kelli.janowski.p1@direct.udel.nextgenshare.com

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": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1598068025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "YMCA ASSOCIATION OFFICE",
            "address_2": "100 WEST 10TH STREET, SUITE 1100",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19801",
            "telephone_number": "302-221-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "YMCA ASSOCIATION OFFICE",
            "address_2": "100 WEST 10TH STREET, SUITE 1100",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19801",
            "telephone_number": "302-221-9622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "66 East Ave",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Woodstown",
            "state": "NJ",
            "postal_code": "080981417",
            "country_code": "US",
            "telephone_number": "856-339-6014",
            "fax_number": "856-624-4329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANOWSKI",
        "first_name": "KELLI",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-06",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "DE",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "DE",
            "license": "DN-0000211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WELLD",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "YMCA Association Office",
            "address_2": "100 West 10th Street, Suite 1100",
            "city": "Wilmington",
            "state": "DE",
            "country_code": "US",
            "postal_code": "19801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.