Active NPI
Kellie Berry, MS, RD, LDN
- Registered Dietitian
- Chelmsford, MA
National Provider Identifier
1639592629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3216
- Practice address
- 2 Courthouse LN Unit 10
Chelmsford, MA 01824-1723 - Phone
- (978) 408-8812
- NPI assigned
- Jan 27, 2014
- Last updated
- Aug 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 3216 | MA | Primary |
Addresses
Primary practice location
2 Courthouse LN Unit 10
Chelmsford, MA 01824-1723
Mailing address
2 Courthouse LN Unit 10
Chelmsford, MA 01824-1723
Phone (978) 408-8812
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3216 | MA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kellie Berry Nutrition Inc | Dietitian, Registered | Current | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Locations
2 Courthouse Ln
Ste 10
Chelmsford, MA 01824
Phone (978) 360-8914
Organizations & group practices 2
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": "1390780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629072000000",
"number": "1639592629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 COURTHOUSE LN UNIT 10",
"city": "CHELMSFORD",
"state": "MA",
"postal_code": "018241723",
"telephone_number": "978-408-8812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 COURTHOUSE LN UNIT 10",
"city": "CHELMSFORD",
"state": "MA",
"postal_code": "018241723",
"telephone_number": "978-408-8812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "KELLIE",
"name_prefix": "Mrs.",
"credential": "MS, RD, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-27",
"last_updated": "2021-08-16",
"certification_date": "2021-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "3216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chelmsford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.