Individual provider Active NPI

Keri Lynn Macelhinney, RD, CDN, CLT

  • Registered Dietitian
  • Danbury, CT
National Provider Identifier
1891198909
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
007981-1 Issued in NY
Practice address
42 Lake Avenue Ext Ste 172
Danbury, CT 06811-5279
Phone
(845) 216-3858
Fax
(845) 282-8362
NPI assigned
Oct 2, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 007981-1 NY Primary

Addresses

Primary practice location

42 Lake Avenue Ext Ste 172
Danbury, CT 06811-5279

Mailing address

PO Box 189
Carmel, NY 10512-0189
Phone (845) 803-0226

Other practice location 1

19 Collier Dr E
Carmel, NY 10512-1107
Phone (845) 216-3858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 29, 2017 through Nov 29, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007981-1NYMDChiropractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1891198909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105120189",
            "telephone_number": "845-803-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 LAKE AVENUE EXT STE 172",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068115279",
            "telephone_number": "845-216-3858",
            "fax_number": "845-282-8362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Collier Dr E",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "NY",
            "postal_code": "105121107",
            "country_code": "US",
            "telephone_number": "845-216-3858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACELHINNEY",
        "first_name": "KERI LYNN",
        "name_prefix": "Mrs.",
        "credential": "RD, CDN, CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-02",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "007981-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.