Active NPI
Anna Maria Kelleher, RD, LD
- Registered Dietitian
- Columbia, MO
National Provider Identifier
1740863471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2016029510
- Practice address
- 404 N Keene St FL 3
Columbia, MO 65201-6626 - Phone
- (573) 884-3856
- Fax
- (573) 499-6088
- NPI assigned
- Apr 30, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2016029510 | MO | Primary |
| Clinical Social Worker | 1041C0700X | 2026004459 | MO |
Addresses
Primary practice location
404 N Keene St FL 3
Columbia, MO 65201-6626
Mailing address
404 N Keene St FL 3
Columbia, MO 65201-6626
Phone (573) 884-3856
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2026004459 | MO | MD | Clinical Social Worker |
| 2016029510 | MO | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772668800000",
"number": "1740863471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 N KEENE ST FL 3",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652016626",
"telephone_number": "573-884-3856",
"fax_number": "573-499-6088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 N KEENE ST FL 3",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652016626",
"telephone_number": "573-884-3856",
"fax_number": "573-499-6088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEHER",
"first_name": "ANNA",
"middle_name": "MARIA",
"name_prefix": "Mrs.",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-30",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "2016029510",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2026004459",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.