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KELLY HOUSTON RDN, LD
NPI 1003209024
Dietitian, Registered in Glen Carbon, IL

Active since March 16, 2015
4225 S STATE ROUTE 159 STE 2, GLEN CARBON, IL 62034(618) 368-5071(618) 822-4249 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 6, 2025, Jul 21, 2022, Mar 17, 2018 (3 updates tracked since 2018).

About Kelly Houston Rdn, Ld NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY HOUSTON RDN, LD (NPI 1003209024) is an individual dietitian, registered in Glen Carbon, Illinois, licensed in Missouri (2013038254) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1003209024
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKELLY HOUSTONCredential: RDN, LD
Location Address4225 S STATE ROUTE 159 STE 2Glen Carbon, IL 62034-3231
Mailing Address4225 S State Route 159 Ste 2Glen Carbon, IL 62034-3231 · (618) 368-5071 · Fax (618) 822-4249
Phone(618) 368-5071
Fax(618) 822-4249
Sole ProprietorNo
Enumeration DateMarch 16, 2015
Last NPPES UpdateAugust 6, 20253 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1003209024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in MO · 2013038254
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
4225 S STATE ROUTE 159 STE 2, Glen Carbon, IL 62034
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ACTIVE REHAB CHIROPRACTIC LLC
Chiropractor
4225 S STATE ROUTE 159 STE 2
GLEN CARBON, IL 62034
Madison County (618) 641-3111
DR. MARSHALL GEVERS DC
Chiropractor
4225 S STATE ROUTE 159 STE 2
GLEN CARBON, IL 62034
Madison County (618) 520-8270
CONFIDENCE NUTRITION COUNSELING, LLC
Dietitian, Registered
4225 S STATE ROUTE 159 STE 2
GLEN CARBON, IL 62034
Madison County (618) 304-8378

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Houston's NPI number?

The NPI number for Kelly Houston is 1003209024. It was assigned to this individual provider in the NPPES registry on March 16, 2015.

Where is Kelly Houston located?

Kelly Houston practices at 4225 S State Route 159 Ste 2, Glen Carbon, IL 62034. The listed phone number is (618) 368-5071.

What is Kelly Houston's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Kelly Houston was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.