Kellilyn Worley, MS, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT06620 Issued in TX

Practice address

985 Interstate 10 N Ste 110F
Beaumont, TX 77706-4815

Phone

(409) 767-8100

Fax

(888) 977-1202

NPI assigned

Jun 21, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, AL2 enrollments

Enrollment records 2

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Andalusia Health Hospital, Andalusia, AL, CCN 010036

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Practitioners 3

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

• Amy Jean Dean, RD LD

  • Registered Dietitian
  • Beaumont, TX
  • NPI 1205473980
  Medicare reassignment
• Amber L Woodard, RD

  • Registered Dietitian
  • Lumberton, TX
  • NPI 1518342823
  Medicare reassignment
• Arda Buyuktimkin, RD, LD

  • Registered Dietitian
  • Phoenix, AZ
  • NPI 1407365950

  TX

  Medicare reassignment

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nutrition Solutions

  • Registered Dietitian
  • Beaumont, TX
  • NPI 1235583873

  Dietitian, Registered

  NPD (past) Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Hospital of Andalusia LLC

  • General Acute Care Hospital
  • Andalusia, AL
  • NPI 1821078494
  Care Compare affiliation

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1760703045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30153 SANDY LANDING RD",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364219157",
            "telephone_number": "409-454-0417",
            "fax_number": "888-977-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 INTERSTATE 10 N STE 110F",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777064815",
            "telephone_number": "409-767-8100",
            "fax_number": "888-977-1202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1803A E Three Notch St",
            "address_purpose": "LOCATION",
            "city": "Andalusia",
            "state": "AL",
            "postal_code": "364212403",
            "country_code": "US",
            "telephone_number": "409-767-8100",
            "fax_number": "888-977-1202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WORLEY",
        "first_name": "KELLILYN",
        "name_prefix": "Mrs.",
        "credential": "MS, RDN, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-21",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT06620",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AL",
            "license": "4080",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacie Woodson
• Connie Wooley, LVN
• Karen Delcid Woosley, APRN
• Eric Tyler Wooten, D.O.
• Work of My Hands
• Kyle E Worley, M.D.
• Camryn Marie Wortham
• Brandi C Wright, FNP-C
• Lori Swan Wright, LCSW
• Guoxin Wu, M.D

• Registered Dietitian in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.