KELLY WILLIAMS MS, CNS, LDN
NPI 1083225577
Nutritionist in Snow Hill, MD

Q: What is Kelly Williams's NPI number?

The NPI number for Kelly Williams is 1083225577. It was assigned to this individual provider in the NPPES registry on August 10, 2020.

Q: What is Kelly Williams's specialty?

The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Williams was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since August 10, 2020Accepts Medicare Assignment

6040 PUBLIC LANDING RD, SNOW HILL, MD 21863(410) 632-1100(410) 632-0080 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 27, 2025, Jul 2, 2024, Aug 10, 2020 (3 updates tracked since 2020).

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About Kelly Williams Ms, Cns, Ldn NPPES

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

KELLY WILLIAMS MS, CNS, LDN (NPI 1083225577) is an individual nutritionist in Snow Hill, Maryland, licensed in Maryland (DX5092) and active in the NPI registry since August 2020. She maintains a secondary practice location in Berlin and is a graduate of Other (2019).

NPPES Registry Identity

NPI1083225577

Entity TypeIndividualFemale

Primary Taxonomy133N00000X

Provider Legal NameKELLY WILLIAMSCredential: MS, CNS, LDN

Location Address6040 PUBLIC LANDING RDSnow Hill, MD 21863-2453

Mailing Address9425 Lake View DrBerlin, MD 21811-2725 · (443) 257-6868

Phone(410) 632-1100

Fax(410) 632-0080

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateAugust 10, 2020

Last NPPES UpdateMay 27, 20253 updates tracked since enumeration

NPPES CertifiedMay 27, 2025

✔ NPI 1083225577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNutritionistDietary & Nutritional Service Providers

Taxonomy Code133N00000X

License✔ Licensed in MD · DX5092

Definition

A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.

6040 PUBLIC LANDING RD, Snow Hill, MD 21863

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Secondary Practice Location 1

Location 19425 Lake View DrBerlin, MD 21811-2725 · Phone (443) 257-6868

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Williams Ms, Cns, Ldn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466850060

PECOS Enrollment IDI20211013000021

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.

BRANDI SIERRA RUSH

Registered Nurse