Mary Kate Kelly, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86392966 Issued in NJ

Practice address

62 Trenton Ave Apt 4
Frenchtown, NJ 08825-1256

Phone

(908) 752-2045

NPI assigned

Aug 8, 2025

Last updated

Aug 8, 2025By the provider in NPPES

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

State licenses

Practice roles

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

• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1754611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1770468688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BROOKHILL RD",
            "city": "PITTSTOWN",
            "state": "NJ",
            "postal_code": "088674149",
            "telephone_number": "908-752-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 TRENTON AVE APT 4",
            "city": "FRENCHTOWN",
            "state": "NJ",
            "postal_code": "088251256",
            "telephone_number": "908-752-2045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Brookhill Rd",
            "address_purpose": "LOCATION",
            "city": "Pittstown",
            "state": "NJ",
            "postal_code": "088674149",
            "country_code": "US",
            "telephone_number": "908-752-2045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "MARY",
        "middle_name": "KATE",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-08",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "86392966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dci Property Maintenance (DeSapio Construction, Inc.)
• Lisa Forst
• Frenchtown Drug Store Inc
• Elaine L. Galasso, MSW LCSW LMFT
• Lauren Hood
• Charles Lawrence King, MD
• Kingwood Township School
• Nicole Marie Kiseli, OTR/L
• Candice Knight, PHD, RN, APNC
• Susan Liebross, O.T.

• Registered Dietitian in Frenchtown, NJ
• Providers in Frenchtown, NJ by specialty
• Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.