Grace Kelley Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

GRACE KELLEY NUTRITION LLC

Practice address

3838 N Ravenswood Ave # 308
Chicago, IL 60613-5651

Phone

(440) 986-0360

NPI assigned

Mar 10, 2026

Organization subpart

No

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

Authorized official

Name

Grace A Kelley, RDN, LDNPI 1962149617

Title

Sports Dietitian

Phone

(440) 986-0360

Specialties & licenses 2

Addresses

Practitioners 1

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

• Grace Kelley

  • Registered Dietitian
  • Cleveland, OH
  • NPI 1962149617

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1773100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1740136712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 N SHERIDAN RD APT 1806",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575946",
            "telephone_number": "440-986-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 N RAVENSWOOD AVE # 308",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606135651",
            "telephone_number": "440-986-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE KELLEY NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-10",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SPORTS DIETITIAN",
        "authorized_official_telephone_number": "440-986-0360",
        "authorized_official_credential": "RDN, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133VN1501X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Bothwell, PLLC
• Grace Center for Wellness LLC
• Grace H Lee DDS LTD
• Grace Heals
• Grace Integrated PLLC
• Grace Lab Services Inc
• Grace Medical Supplies Inc
• Grace Street Counseling PLLC
• Amberly Eden Grace
• Cameron Grace, PA-C

• Registered Dietitian in Chicago, IL
• Providers in Chicago, IL by specialty
• Registered Dietitian in Illinois

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