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KELLY S. VANDAME
NPI 1194319798
Dietitian, Registered in Lafayette, IN

Active since February 24, 2021
100 EXECUTIVE DR STE F, LAFAYETTE, IN 47905(765) 201-0502 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly S. Vandame NPPES

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

KELLY S. VANDAME (NPI 1194319798) is an individual dietitian, registered in Lafayette, Indiana and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1194319798
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKELLY S. VANDAME
Location Address100 EXECUTIVE DR STE FLafayette, IN 47905-4864
Mailing Address5134 Florence LnLafayette, IN 47905-7741 · (765) 413-5609
Phone(765) 201-0502
Sole ProprietorYes
Enumeration DateFebruary 24, 2021
Last NPPES UpdateMay 28, 2024
NPPES CertifiedMay 28, 2024
✔ NPI 1194319798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
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.
100 EXECUTIVE DR STE F, Lafayette, IN 47905
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Other Providers at the Same Location NPPES

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

KELLY NUTRITION, LLC
Clinic/Center
100 EXECUTIVE DR STE F
LAFAYETTE, IN 47905
Tippecanoe County (765) 413-5609

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 Vandame's NPI number?

The NPI number for Kelly Vandame is 1194319798. It was assigned to this individual provider in the NPPES registry on February 24, 2021.

Where is Kelly Vandame located?

Kelly Vandame practices at 100 Executive Dr Ste F, Lafayette, IN 47905. The listed phone number is (765) 201-0502.

What is Kelly Vandame's specialty?

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

What insurance does Kelly Vandame accept?

Health plans from CareSource list Kelly Vandame as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Vandame was last updated on May 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.