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KELLY JEWELL RD, LD
NPI 1063805109
Dietitian, Registered in Cincinnati, OH

Active since March 13, 2015Opted out of Medicare · through Jul 10, 2027
3805 EDWARDS RD, SUITE 400, CINCINNATI, OH 45209(513) 808-9220 Get Directions Write a Review

NPPES record last updated: March 13, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Jewell Rd, Ld NPPES

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

KELLY JEWELL RD, LD (NPI 1063805109) is an individual dietitian, registered in Cincinnati, Ohio, licensed in Ohio (1095465) and active in the NPI registry since March 2015. She has opted out of Medicare through July 10, 2027.

NPPES Registry Identity

NPI1063805109
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKELLY JEWELLCredential: RD, LD
Location Address3805 EDWARDS RD, SUITE 400Cincinnati, OH 45209-1900
Mailing Address3805 Edwards Rd, Suite 400Cincinnati, OH 45209-1900 · (513) 808-9220
Phone(513) 808-9220
Sole ProprietorNo
Enumeration DateMarch 13, 2015
✔ NPI 1063805109 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 OH · 1095465
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.
3805 EDWARDS RD, Cincinnati, OH 45209
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kelly Jewell Rd, Ld has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 10, 2025 through July 10, 2027.

Opt-Out Effective DateJuly 10, 2025
Opt-Out In Effect ThroughJuly 10, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 17

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

DAVID CARL FISHER M.D.
Internal Medicine
3805 EDWARDS RD, SUITE 350
CINCINNATI, OH 45209
Hamilton County (513) 321-0833
ALLIANCE PRIMARY CARE
Internal Medicine
3805 EDWARDS RD, STE. 300
CINCINNATI, OH 45209
Hamilton County (513) 585-9700
DR. JON E MENDELSOHN MD FACS
Plastic Surgery (Plastic Surgery Within the Head and Neck)
3805 EDWARDS RD, SUITE 100
CINCINNATI, OH 45209
Hamilton County (513) 351-3223
ADVANCED COSMETIC SURGERY & LASER CENTER OF HYDE PARK, INC.
Clinic/Center (Ambulatory Surgical)
3805 EDWARDS RD, SUITE 100
CINCINNATI, OH 45209
Hamilton County (513) 351-3223
DANIEL ANTHONY SILVESTRI M.D.
Internal Medicine
3805 EDWARDS RD, SUITE 300
CINCINNATI, OH 45209
Hamilton County (513) 871-5900
DR. GRAYSON SUGARMAN M.D.
Internal Medicine
3805 EDWARDS RD, SUITE 350
CINCINNATI, OH 45209
Hamilton County (513) 321-0833
EATING RECOVERY CENTER OF OHIO, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
3805 EDWARDS RD, SUITE 400
CINCINNATI, OH 45209
Hamilton County (312) 540-9955
DOUGLAS C BRENGLE MD
Internal Medicine
3805 EDWARDS RD, STE. 300
CINCINNATI, OH 45209
Hamilton County (513) 585-9700

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 Jewell's NPI number?

The NPI number for Kelly Jewell is 1063805109. It was assigned to this individual provider in the NPPES registry on March 13, 2015.

Where is Kelly Jewell located?

Kelly Jewell practices at 3805 Edwards Rd Suite 400, Cincinnati, OH 45209. The listed phone number is (513) 808-9220.

What is Kelly Jewell's specialty?

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

Is Kelly Jewell enrolled in Medicare?

No. Kelly Jewell has opted out of Medicare through July 10, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kelly Jewell was last updated on March 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.