Active NPI
Kelsey Ruszel, LLC
- Registered Dietitian
- Garden City, ID
National Provider Identifier
1871464545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- KELSEY RUSZEL, LLC
- Practice address
- 9201 W State St Ste 220
Garden City, ID 83714-2525 - Phone
- (925) 876-1245
- NPI assigned
- Sep 16, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelsey Elizabeth Ruszel, RDN
- Title
- Owner
- Phone
- (925) 876-1245
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
9201 W State St Ste 220
Garden City, ID 83714-2525
Mailing address
9201 W State St Ste 220
Garden City, ID 83714-2525
National Provider Directory
National Provider DirectoryLocations
9201 W State St
Ste 220
Garden City, ID 83714
Phone (925) 876-1245
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757980800000",
"number": "1871464545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9201 W STATE ST STE 220",
"city": "GARDEN CITY",
"state": "ID",
"postal_code": "837142525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9201 W STATE ST STE 220",
"city": "GARDEN CITY",
"state": "ID",
"postal_code": "837142525",
"telephone_number": "925-876-1245"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KELSEY RUSZEL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-16",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A",
"authorized_official_last_name": "RUSZEL",
"authorized_official_first_name": "KELSEY",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "925-876-1245",
"authorized_official_credential": "RDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden City, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.