Individual provider Active NPI

Kelsey Nicole Rife, MS, RD, LD

  • Registered Dietitian
  • Nashville, TN
National Provider Identifier
1639896707
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LDN0000003941 Issued in TN
Practice address
2000 Murphy Ave
Nashville, TN 37203-2010
Phone
(615) 284-2800
NPI assigned
Oct 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 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 LDN0000003941 TN Primary

Addresses

Primary practice location

2000 Murphy Ave
Nashville, TN 37203-2010

Mailing address

700 3Rd Ave S Apt 730
Nashville, TN 37210-2353
Phone (330) 472-2739

Other practice location 1

700 3rd Ave S Apt 730
Nashville, TN 37210-2353
Phone (330) 472-2739

Other identifiers 2

IdentifierTypeStateIssuer
LDN0000003941OtherTNSTATE OF TN DEPT OF HEALTH- DIETITIAN LICENSE NO.
86150138OtherCOMMISSION ON DIETETIC REGISTRATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221128000590 TN Practitioner - Registered Dietitian Or Nutrition Professional 8325416209 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LDN0000003941TNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Thomas Medical Partners CurrentSince Oct 17, 2022 Accepting new patients

Locations

300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088

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": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1639896707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 3RD AVE S APT 730",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372102353",
            "telephone_number": "330-472-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MURPHY AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032010",
            "telephone_number": "615-284-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 3rd Ave S Apt 730",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372102353",
            "country_code": "US",
            "telephone_number": "330-472-2739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIFE",
        "first_name": "KELSEY",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "MS, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "LDN0000003941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TN DEPT OF HEALTH- DIETITIAN LICENSE NO.",
            "identifier": "LDN0000003941",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETETIC REGISTRATION",
            "identifier": "86150138",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.