Kylee Pedrosa Nutrition and Wellness LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

KYLEE PEDROSA NUTRITION AND WELLNESS LLC

Practice address

24 Woodstone Dr
Doylestown, PA 18901-7014

Phone

(316) 644-4395

NPI assigned

Mar 20, 2020

Organization subpart

No

Name

Kylee Pedrosa

Title

Owner/Provider

Phone

(316) 644-4395

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 5, 2021.

{
    "created_epoch": "1584662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1801422985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 WOODSTONE DR",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189017014",
            "telephone_number": "316-644-4395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 WOODSTONE DR",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189017014",
            "telephone_number": "316-644-4395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "54 E Oakland Ave",
            "address_purpose": "LOCATION",
            "city": "Doylestown",
            "state": "PA",
            "postal_code": "189014651",
            "country_code": "US",
            "telephone_number": "316-644-4395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KYLEE PEDROSA NUTRITION AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-20",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "PEDROSA",
        "authorized_official_first_name": "KYLEE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "316-644-4395"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.kyleepedrosanutrition.com",
            "affiliation": "N",
            "address_1": "24 Woodstone Dr",
            "city": "Doylestown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "189017014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Edward G Kubovsak, MD
• Jeffrey Kummery, P.A.
• Amanda Elizabeth Kuptsow, DPT
• Jeffrey Albert Kushner, D.O.
• Palkin Kushwaha
• L a Englert, LPC, LLC
• Daniel Gerard Lacey
• Maryalice Lachman, PT
• Isabella Lackey
• Kejin Lai

• All providers in Doylestown, PA
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.