MS. KELLY L DICKSON RD, LDN - NPI 1205103520 - Dietitian, Registered in York, PA

Q: What is Kelly Dickson's NPI number?

The NPI number for Kelly Dickson is 1205103520. It was assigned to this individual provider in the NPPES registry on December 1, 2011. The provider is also known as Kelly L Marsteller Rd, Ldn.

Q: What is Kelly Dickson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Dickson was last updated on April 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ms. Kelly L Dickson Rd, Ldn NPPES

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

MS. KELLY L DICKSON RD, LDN (NPI 1205103520) is an individual dietitian, registered in York, Pennsylvania, licensed in Pennsylvania (DN004679) and active in the NPI registry since December 2011. She maintains a secondary practice location in York.

NPPES Registry Identity

NPI1205103520

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMS. KELLY L DICKSONCredential: RD, LDN

Location Address25 MONUMENT RD STE 105York, PA 17403-5049

Mailing Address3421 Concord RdYork, PA 17402-9001 · (717) 851-7575 · Fax (717) 812-5154

Phone(717) 851-7575

Fax(717) 812-5154

Sole ProprietorNo

Enumeration DateDecember 1, 2011

Last NPPES UpdateApril 7, 20222 updates tracked since enumeration

NPPES CertifiedApril 7, 2022

✔ NPI 1205103520 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 PA · DN004679

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.

25 MONUMENT RD STE 105, York, PA 17403

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Other Names 1

Former Name (1)Kelly L Marsteller Rd, Ldn

Secondary Practice Location 1

Location 12339 S George StYork, PA 17403-5009 · Phone (717) 851-6207 · Fax (717) 851-3027

Other Identifiers 1

OtherDN004679License Number

Other Providers at the Same Location NPPES 12

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

MS. LISA FOUTS ROUPAS CRNP

Nurse Practitioner (Family)