Active NPI
Kelsey O'Neill, RD
- Registered Dietitian
- Kalispell, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- MED-NUTR-LIC-34641
- Practice address
- 350 Heritage Way Ste 1100
Kalispell, MT 59901-3160 - Phone
- (406) 752-8900
- Fax
- (406) 752-8909
- NPI assigned
- Sep 26, 2014
- Last updated
- Sep 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | MED-NUTR-LIC-34641 | MT | Primary |
Addresses
Primary practice location
350 Heritage Way Ste 1100
Kalispell, MT 59901-3160
Mailing address
400 13TH Ave S Ste 106
Great Falls, MT 59405-4300
Phone (406) 455-2841
Other practice location 1
343 Sunnyview Ln
Kalispell, MT 59901-3156
Phone (406) 752-1790
Other names 1
- Kelsey Conrow
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | krmcmedicalrecords@krhdirect.org | Direct | Kalispell Regional Medical Center Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MED-NUTR-LIC-34641 | MT | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kalispell Regional Medical Center Inc | Current | Accepting new patients | |
| Kalispell Regional Medical Center, Inc | Past | Accepting new patients |
Locations
310 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 751-5310
350 Heritage Way
Ste 2100
Kalispell, MT 59901
Phone (406) 257-8992
Interoperability endpoints
- krmcmedicalrecords@krhdirect.org
Organizations & group practices 2
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.
-
dba Logan Health Breast Center
- Clinic/Center
- Kalispell, MT
- NPI 1235333139
-
dba Logan Health Surgical Clinic
- Surgery Physician
- Kalispell, MT
- NPI 1215527403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725926400000",
"number": "1801299466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 13TH AVE S STE 106",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594054300",
"telephone_number": "406-455-2841",
"fax_number": "406-455-2842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 HERITAGE WAY STE 1100",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599013160",
"telephone_number": "406-752-8900",
"fax_number": "406-752-8909"
}
],
"practiceLocations": [
{
"address_1": "343 Sunnyview Ln",
"address_purpose": "LOCATION",
"city": "Kalispell",
"state": "MT",
"postal_code": "599013156",
"country_code": "US",
"telephone_number": "406-752-1790",
"fax_number": "406-756-3529",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'NEILL",
"first_name": "KELSEY",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-26",
"last_updated": "2024-09-10",
"certification_date": "2024-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MT",
"license": "MED-NUTR-LIC-34641",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "krmcmedicalrecords@krhdirect.org",
"affiliation": "Y",
"affiliationName": "Kalispell Regional Medical Center Inc",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "350 Heritage Way Ste 1100",
"city": "Kalispell",
"state": "MT",
"country_code": "US",
"postal_code": "599013160",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KELSEY",
"last_name": "CONROW",
"credential": "RD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kalispell, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.