Organization Active NPI

Fit and Well With Kel

  • Registered Dietitian
  • Kansas City, MO
National Provider Identifier
1689531725
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
FIT AND WELL WITH KEL
Practice address
12380 Summit St
Kansas City, MO 64145-1174
Phone
(913) 515-9554
NPI assigned
Jan 9, 2026
Organization subpart
Yes
Parent organization
FIT AND WELL WITH KELAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Authorized official

Name
Kelly Lauren Bukovac, RDNNPI 1528828597
Title
Owner/Lead Dietitian
Phone
(913) 515-9554

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

12380 Summit St
Kansas City, MO 64145-1174

Mailing address

12380 Summit St
Kansas City, MO 64145-1174
Phone (913) 515-9554

National Provider Directory

National Provider Directory
Part of
Fit and Well With Kel

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1767916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767916800000",
    "number": "1689531725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12380 SUMMIT ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641451174",
            "telephone_number": "913-515-9554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12380 SUMMIT ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641451174",
            "telephone_number": "913-515-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIT AND WELL WITH KEL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIT AND WELL WITH KEL",
        "enumeration_date": "2026-01-09",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A",
        "authorized_official_last_name": "BUKOVAC",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER/LEAD DIETITIAN",
        "authorized_official_telephone_number": "913-515-9554",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; 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.