Kristen Kelly, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

965850

Practice address

1501 Lee Hwy Ste 130
Arlington, VA 22209-1109

Phone

(240) 506-6483

NPI assigned

Sep 18, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1760901045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 S ARLINGTON MILL DR UNIT 304",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222063404",
            "telephone_number": "240-506-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 LEE HWY STE 130",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222091109",
            "telephone_number": "240-506-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KRISTEN",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-18",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "965850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Graham Keir
• Keith Schreffler DC, LLC.
• Erin Kelley, PH.D.
• Henriette Kellum, LCSW
• Erin Elizabeth Kelly, OTR/L
• Lori Salins Kelly, LPC
• Susan Ellen Kelly, NP
• Tiffany E Kelsey, LCP
• Grace Annabel Kelso, OTD, OTR/L
• Rithy Kem, PHARM.D.

• Registered Dietitian in Arlington, VA
• Providers in Arlington, VA by specialty
• Registered Dietitian in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.