Erin Kelly, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86009973 Issued in NY

Practice address

4580 Lincklaen Rd
Cazenovia, NY 13035-9756

Phone

(315) 657-4495

NPI assigned

Jul 28, 2016

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1790238566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4580 LINCKLAEN RD",
            "city": "CAZENOVIA",
            "state": "NY",
            "postal_code": "130359756",
            "telephone_number": "315-657-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4580 LINCKLAEN RD",
            "city": "CAZENOVIA",
            "state": "NY",
            "postal_code": "130359756",
            "telephone_number": "315-657-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ERIN",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86009973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia B Jones, MD
• Sunny Jung, DMD
• Peter Bayard Kane, M.D.
• Richard Plaut Kavey, M.D.
• Sarah Kelchner
• Stacy L Kingsley, P.T.
• Christa Koon, LMSW
• Jaclyn Korver, RN, BSN
• Thomas Francis Kozlowski, DDS
• KPH Healthcare Services, Inc.

• Registered Dietitian in Cazenovia, NY
• Providers in Cazenovia, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.