MARY JANE KELLY
NPI 1215410790
Dietitian, Registered in West Covina, CA
- Individual
- Female
- Dietitian, Registered
About MARY KELLY
This page provides the complete NPI Profile along with additional information for Mary Kelly, a provider established in West Covina, California with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1215410790 assigned on September 2018. The practitioner's primary taxonomy code is 133V00000X. The provider is registered as an individual and her NPI record was last updated 8 years ago.
- NPI
- 1215410790 Verify this NPI
- Provider Name
- MARY JANE KELLY
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1046 E ELGENIA AVE WEST COVINA, CA 91790
- Location Phone
- (626) 862-5686
- Mailing Address
- 1046 E ELGENIA AVE WEST COVINA, CA 91790
- Mailing Phone
- (626) 862-5686
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-11-2018
- Last Update Date
- 09-11-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dietitian, Registered
- Taxonomy Code
- 133V00000X
- Type
- Dietary & Nutritional Service Providers
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215410790, enumerated as an "individual" on September 11, 2018.
The provider is located at 1046 E ELGENIA AVE WEST COVINA, CA 91790 and the phone number is (626) 862-5686.
Dietitian, Registered with taxonomy code 133V00000X.
