Active NPI
Keith Saffold, RND
- Registered Dietitian
- Northport, AL
National Provider Identifier
1649048679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 5370
- Practice address
- 3202 Mystic Lake Way
Northport, AL 35473-1912 - Phone
- (609) 602-8040
- NPI assigned
- Dec 19, 2023
- Sex
- Male
- 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 | 5370 | AL | Primary |
Addresses
Primary practice location
3202 Mystic Lake Way
Northport, AL 35473-1912
Mailing address
3202 Mystic Lake Way
Northport, AL 35473-1912
Phone (609) 602-8040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260205004353 | AL | Practitioner - Registered Dietitian Or Nutrition Professional | 3072058023 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
19 W 24TH St
FL 4
New York, NY 10010-3239
19 W 24TH St FL
Suite 4
New York, NY 10010-3239
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5370 | AL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BSH Health PA | Dietitian, Registered | Current | Accepting new patients |
| Iduna Healthcare Services PLLC | Dietitian, Registered | Current | Accepting new patients |
| Cloud Health Medical Group, P.a. | Past | Accepting new patients | |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Locations
2208 University Blvd
Ste 102
Birmingham, AL 35233
Phone (205) 259-6710
19 W 24th St
Fl 4
New York, NY 10010
Phone (646) 844-2332
Organizations & group practices 5
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.
-
- Registered Dietitian
- Northport, AL
- NPI 1710757554
Dietitian, Registered
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1528744935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702944000000",
"number": "1649048679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3202 MYSTIC LAKE WAY",
"city": "NORTHPORT",
"state": "AL",
"postal_code": "354731912",
"telephone_number": "609-602-8040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3202 MYSTIC LAKE WAY",
"city": "NORTHPORT",
"state": "AL",
"postal_code": "354731912",
"telephone_number": "609-602-8040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAFFOLD",
"first_name": "KEITH",
"credential": "RND",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-12-19",
"last_updated": "2023-12-19",
"certification_date": "2023-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AL",
"license": "5370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northport, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.