Active NPI
Kelly O'Keefe, RD
- Registered Dietitian
- Rochester, NY
National Provider Identifier
1912321399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2014001547
- Practice address
- 1183 Monroe Ave
Rochester, NY 14620-1662 - Phone
- (585) 354-8579
- NPI assigned
- Feb 6, 2014
- Sex
- Female
- 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 | 2014001547 | MO | Primary |
Addresses
Primary practice location
1183 Monroe Ave
Rochester, NY 14620-1662
Mailing address
214 Berkeley St Apt 19
Rochester, NY 14607-3054
Phone (585) 478-4946
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014001547 | MO | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391644800000",
"number": "1912321399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 BERKELEY ST APT 19",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146073054",
"telephone_number": "585-478-4946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1183 MONROE AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146201662",
"telephone_number": "585-354-8579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'KEEFE",
"first_name": "KELLY",
"name_prefix": "Miss",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-06",
"last_updated": "2014-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "2014001547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.