Kelli J. Kidd, M.S., R.D., LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LDN00763 Issued in RI

Practice address

11 Friendship St
Newport, RI 02840-2209

Phone

(401) 845-1254

NPI assigned

Apr 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1891757084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WASHINGTON ROAD",
            "address_2": "CREDENTENTIAL'S OFFICE, KELLER ARMY COMMUNITY HOSPITAL",
            "city": "WEST POINT",
            "state": "NY",
            "postal_code": "109961197",
            "telephone_number": "845-446-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 FRIENDSHIP ST",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028402209",
            "telephone_number": "401-845-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDD",
        "first_name": "KELLI",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "M.S., R.D., LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "005328",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "RI",
            "license": "LDN00763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Tracy Kelly, LCSW
• Kathleen Kenney
• Jessica Kent, CADC
• Zahra Khaled, MD
• Samir Khanjar, MD
• Mark E. Kilmer, PHD
• Elizabeth Kilzi, DPT
• Jee Hyun Kim, DO
• Angelique Kimble, PTA
• Sara Bates King, CNM, FNP

• Registered Dietitian in Newport, RI
• Providers in Newport, RI by specialty
• Registered Dietitian in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.