Kelly Ann Bysura, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

Greene County Health Department
810 West Church Street
Greeneville, TN 37744

Phone

(423) 798-1749

Fax

(423) 798-1755

NPI assigned

Jan 19, 2007

Last updated

May 13, 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

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1790838217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 CRAFT LN",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377437158",
            "telephone_number": "423-972-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GREENE COUNTY HEALTH DEPARTMENT",
            "address_2": "810 WEST CHURCH STREET",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "37744",
            "telephone_number": "423-798-1749",
            "fax_number": "423-798-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYSURA",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Allen Bullington, D.D.S.
• Jessica Burke, RN
• Burkey Road
• Eugene W Buxton Jr., R.PH.
• Kellie Anne Byrd, PA-C
• Chad P. Cabell, NP
• Kathryn R Calsetta, OTR/L
• David Campbell
• Jennifer Campbell, BA
• Mandy Nicole Campbell, P.T.A.

• Registered Dietitian in Greeneville, TN
• Providers in Greeneville, TN by specialty
• Registered Dietitian in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.