Kelli Mary-Ruth Woody, RDN, LD
Individual provider Active NPI Registered Dietitian · Stanton, TX
NPI 1831079128 · NPPES record last updated Sep 5, 2025
Key facts
- NPI
- 1831079128
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 86293111 (TX)
- Practice address
- 603 North Saint Paul Street
Stanton, TX 79782 - Phone
- (806) 241-1726
- NPI assigned
- Sep 5, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86293111 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86293111 | TX | Yes |
Addresses
Primary practice location
603 North Saint Paul Street
Stanton, TX 79782
Mailing address
PO Box 126
Stanton, TX 79782-0126
Phone (806) 241-1726
Other providers in Stanton, TX
- Stanton Nursing and Rehabilitation LP
- Shalon Lena Sullivan
- Trulite Home Care, Inc.
- Elizabeth Ann Vanderslice
- Latisha Marie Ward
All providers in Stanton, TX · Registered Dietitian in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.