Active NPI
Kelly Kinney
- Registered Dietitian
- Bowling Green, KY
National Provider Identifier
1851256085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1653
- Practice address
- 207 Traditions Blvd
Bowling Green, KY 42103-7957 - Phone
- (270) 901-3412
- NPI assigned
- Dec 19, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
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 | 1653 | TN | Primary |
Addresses
Primary practice location
207 Traditions Blvd
Bowling Green, KY 42103-7957
Mailing address
207 Traditions Blvd
Bowling Green, KY 42103-7957
Phone (270) 901-3412
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2003
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
207 Traditions Blvd
Bowling Green, KY 42103-7957
3908 Lebanon Pike Unit
Suite 502
Hermitage, TN 37076-2196
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1653 | TN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MNT, Inc. | Dietitian, Registered | Current | Accepting new patients |
Locations
1994 Gallatin Pike N
Ste 30
Madison, TN 37115
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772755200000",
"number": "1851256085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 TRADITIONS BLVD",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421037957",
"telephone_number": "270-901-3412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 TRADITIONS BLVD",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421037957",
"telephone_number": "270-901-3412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINNEY",
"first_name": "KELLY",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-12-19",
"last_updated": "2026-03-06",
"certification_date": "2026-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TN",
"license": "1653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.