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MRS. LAURA JEAN KELLY RD, CSO, CDN
NPI 1013203702
Dietitian, Registered in Commack, NY

Active since June 22, 2011
650 COMMACK RD, COMMACK, NY 11725(631) 623-4000(631) 864-2787 Get Directions Write a Review

NPPES record last updated: June 22, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Laura Jean Kelly Rd, Cso, Cdn NPPES

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

MRS. LAURA JEAN KELLY RD, CSO, CDN (NPI 1013203702) is an individual dietitian, registered in Commack, New York, licensed in New York (956635) and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1013203702
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMRS. LAURA JEAN KELLYCredential: RD, CSO, CDN
Location Address650 COMMACK RDCommack, NY 11725-5404
Mailing Address650 Commack RdCommack, NY 11725-5404
Phone(631) 623-4000
Fax(631) 864-2787
Sole ProprietorNo
Enumeration DateJune 22, 2011
✔ NPI 1013203702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in NY · 956635
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.
Also ListedNutritionistTaxonomy 133N00000X · License 7184206 (NY)
650 COMMACK RD, Commack, NY 11725
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Other Providers at the Same Location NPPES 20

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

MRS. KERI JEAN WAGNER N.P.
Nurse Practitioner (Family)
650 COMMACK RD
COMMACK, NY 11725
Suffolk County (631) 623-4000
JANICE SHEN
Internal Medicine (Medical Oncology)
650 COMMACK RD
COMMACK, NY 11725
Suffolk County (631) 623-4258
STEVEN M SUGARMAN MD
Internal Medicine (Medical Oncology)
650 COMMACK RD
COMMACK, NY 11725
Suffolk County (646) 227-3813
HONG YUN RPH
Pharmacist
650 COMMACK RD
COMMACK, NY 11725
Suffolk County (631) 623-4106
DR. AVNI M DESAI M.D.
Internal Medicine
650 COMMACK RD
COMMACK, NY 11725
Suffolk County (631) 623-4000
STUART M LICHTMAN MD
Internal Medicine (Medical Oncology)
650 COMMACK RD
COMMACK, NY 11725
Suffolk County (646) 227-3813
EILEEN JACKSON NP
Nurse Practitioner (Family)
650 COMMACK RD
COMMACK, NY 11725
Suffolk County (631) 623-4000
MEGAN ANDREA STASI MSN, ANP, A-GNP
Nurse Practitioner (Adult Health)
650 COMMACK RD
COMMACK, NY 11725
Suffolk County (212) 639-2000

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 Laura Kelly's NPI number?

The NPI number for Laura Kelly is 1013203702. It was assigned to this individual provider in the NPPES registry on June 22, 2011.

Where is Laura Kelly located?

Laura Kelly practices at 650 Commack Rd, Commack, NY 11725. The listed phone number is (631) 623-4000.

What is Laura Kelly'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 Laura Kelly was last updated on June 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.