Active NPI
Kylie Irena Benak, MS, RD
- Registered Dietitian
- Newport Beach, CA
National Provider Identifier
1972472298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 086301968
- Practice address
- 514 Clubhouse Ave
Newport Beach, CA 92663-3211 - Phone
- (813) 716-0446
- NPI assigned
- Nov 4, 2025
- 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 | 086301968 | CA | Primary |
Addresses
Primary practice location
514 Clubhouse Ave
Newport Beach, CA 92663-3211
Mailing address
514 Clubhouse Ave
Newport Beach, CA 92663-3211
Phone (813) 716-0446
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 086301968 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
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": "1762214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762473600000",
"number": "1972472298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "514 CLUBHOUSE AVE",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633211",
"telephone_number": "813-716-0446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 CLUBHOUSE AVE",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633211",
"telephone_number": "813-716-0446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENAK",
"first_name": "KYLIE",
"middle_name": "IRENA",
"credential": "MS, RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-04",
"last_updated": "2025-11-07",
"certification_date": "2025-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "086301968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.