Kelly Davis, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86301451 Issued in CA

Practice address

8544 Villa la Jolla Dr Apt 203
La Jolla, CA 92037-8314

Phone

(760) 960-9456

NPI assigned

Oct 26, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1666742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1659098952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8544 VILLA LA JOLLA DR APT 203",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920378314",
            "telephone_number": "508-564-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8544 VILLA LA JOLLA DR APT 203",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920378314",
            "telephone_number": "760-960-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KELLY",
        "name_prefix": "Miss",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86301451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara L Davidson, NP-C
• Jane Davidson, P.A.-C.
• Alice Davis Winkel, ATC
• Claire Davis, M.D.
• Drisana Davis
• Michelle Davis
• Ali Dawlatly, MD, DDS
• Jumai Fathiya Dawuda, NP
• Anthony De Hoyos, MS, ATC
• M Sue De Santo, LCSW

• Registered Dietitian in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.