KELLY BURGESS RD, LD
NPI 1134840564
Dietitian, Registered in Jamestown, KY

Active since September 05, 2022
1 SPARKS AVE, JAMESTOWN, KY 42629(270) 343-2101 Get Directions Write a Review

NPPES record last updated: September 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Burgess Rd, Ld NPPES

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

KELLY BURGESS RD, LD (NPI 1134840564) is an individual dietitian, registered in Jamestown, Kentucky, licensed in Kentucky (252072) and active in the NPI registry since September 2022. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1134840564
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKELLY BURGESSCredential: RD, LD
Location Address1 SPARKS AVEJamestown, KY 42629-2449
Mailing Address2370 Cave Mill Station Blvd Apt 922Bowling Green, KY 42104-6407 · (615) 815-5810
Sole ProprietorNo
Enumeration DateSeptember 5, 2022
NPPES CertifiedSeptember 5, 2022
NPI 1134840564 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 KY · 252072
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.
1 SPARKS AVE, Jamestown, KY 42629

Secondary Practice Locations 3

Location 1718 Goodwin LnLeitchfield, KY 42754-1400 · Phone (270) 259-4036
Location 23740 Old Hartford RdOwensboro, KY 42303-1727 · Phone (270) 684-7259
Location 31002 Glenview DrGlasgow, KY 42141-3424 · Phone (270) 651-8332

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Primary Care)
1 SPARKS AVE
JAMESTOWN, KY 42629
Nurse Practitioner (Family)
1 SPARKS AVE
JAMESTOWN, KY 42629
Skilled Nursing Facility
1 SPARKS AVE
JAMESTOWN, KY 42629
Skilled Nursing Facility
1 SPARKS AVE
JAMESTOWN, KY 42629

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 Burgess's NPI number?

The NPI number for Kelly Burgess is 1134840564. It was assigned to this individual provider in the NPPES registry on September 5, 2022.

Where is Kelly Burgess located?

Kelly Burgess practices at 1 Sparks Ave, Jamestown, KY 42629. The listed phone number is (270) 343-2101.

What is Kelly Burgess'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 Burgess was last updated on September 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.