Kelly Campbell Grebner, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86302700 Issued in FL

Practice address

3074 Gibraltar Blvd
New Smyrna Beach, FL 32168-2440

Phone

(732) 456-1393

NPI assigned

Jan 14, 2025

Last updated

Jan 14, 2025By the provider in NPPES

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)

Not enrolled

State licenses

Practice roles

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.

• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1669283297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3074 GIBRALTAR BLVD",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321682440",
            "telephone_number": "732-456-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3074 GIBRALTAR BLVD",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321682440",
            "telephone_number": "732-456-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREBNER",
        "first_name": "KELLY",
        "middle_name": "CAMPBELL",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "86302700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mai Linh T Graham, PA-C
• Nicola Granger, O.D.
• Garrett Maxwell Graves, LMHC
• Karen Lynn Gray, OTR
• Great Strides Rehabilitation Inc.
• Kristin Greco
• Emily Rebekah Green, PA-C.
• Greene Urological Center P.a.
• Karla Noelle Greene, D.C.
• Gordon G Greenhalgh, PHD

• Registered Dietitian in New Smyrna Beach, FL
• Providers in New Smyrna Beach, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.