Individual provider Active NPI

Keeley C Drotz, RDN (REGISTERED DIET

  • Registered Dietitian
  • Walla Walla, WA
National Provider Identifier
1689677569
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI00001453 Issued in WA
Practice address
55 W Tietan St
Walla Walla, WA 99362-4445
Phone
(855) 850-0638
Fax
(833) 428-3618
NPI assigned
May 24, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 893644 AZ
Registered Dietitian 133V00000X DI00001453 WA Primary
Registered Dietitian 133V00000X 893644 VA

Addresses

Primary practice location

55 W Tietan St
Walla Walla, WA 99362-4445

Mailing address

13804 139TH Ave E
Orting, WA 98360-8474
Phone (206) 714-2878

Other practice location 1

950 N Glebe Rd Ste 700
Arlington, VA 22203-4173
Phone (855) 850-0638

Other practice location 2

3815 E Bell Rd Ste 3200
Phoenix, AZ 85032-2162
Phone (855) 850-0638

Other names 1

  • Keeley C Cavender Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI00001453WAMDNutritionist
DT83586TXMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1689677569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13804 139TH AVE E",
            "city": "ORTING",
            "state": "WA",
            "postal_code": "983608474",
            "telephone_number": "206-714-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 W TIETAN ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993624445",
            "telephone_number": "855-850-0638",
            "fax_number": "833-428-3618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 N Glebe Rd Ste 700",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222034173",
            "country_code": "US",
            "telephone_number": "855-850-0638",
            "fax_number": "855-474-8005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3815 E Bell Rd Ste 3200",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850322162",
            "country_code": "US",
            "telephone_number": "855-850-0638",
            "fax_number": "833-764-4546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DROTZ",
        "first_name": "KEELEY",
        "middle_name": "C",
        "credential": "RDN (REGISTERED DIET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "893644",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI00001453",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VA",
            "license": "893644",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEELEY",
            "last_name": "CAVENDER",
            "middle_name": "C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Walla Walla, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.