AUTUMN ROSE KELLY RD, LD
NPI 1205232634
Dietitian, Registered in Marshalltown, IA

Q: What is Autumn Kelly's NPI number?

The NPI number for Autumn Kelly is 1205232634. It was assigned to this individual provider in the NPPES registry on November 12, 2014.

Q: What is Autumn Kelly'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 Autumn Kelly was last updated on November 12, 2014. 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.

Active since November 12, 2014

3 S 4TH AVE, FOOD AND NUTRITION SERVICES, MARSHALLTOWN, IA 50158(641) 754-5271 Get Directions Write a Review

NPPES record last updated: November 12, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Autumn Rose Kelly Rd, Ld NPPES

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

AUTUMN ROSE KELLY RD, LD (NPI 1205232634) is an individual dietitian, registered in Marshalltown, Iowa, licensed in Iowa (002148) and active in the NPI registry since November 2014. She is a graduate of Other (2011).

NPPES Registry Identity

NPI1205232634

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameAUTUMN ROSE KELLYCredential: RD, LD

Location Address3 S 4TH AVE, FOOD AND NUTRITION SERVICESMarshalltown, IA 50158-2924

Mailing Address23767 667th AveNevada, IA 50201-7616 · (319) 480-5574

Phone(641) 754-5271

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateNovember 12, 2014

✔ NPI 1205232634 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 IA · 002148

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.

3 S 4TH AVE, Marshalltown, IA 50158

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Autumn Rose Kelly Rd, Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072836535

PECOS Enrollment IDI20260401002858

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.

EMMALINE M WRIGHT RD

Dietitian, Registered