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KELLY DANIELLE TAHLOR RDN, CDN
NPI 1275231433
Dietitian, Registered in Centereach, NY

Active since February 17, 2023Accepts Medicare Assignment
23 S HOWELL AVE STE D, CENTEREACH, NY 11720(631) 444-2274 Get Directions Write a Review

NPPES record last updated: February 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Danielle Tahlor Rdn, Cdn NPPES

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

KELLY DANIELLE TAHLOR RDN, CDN (NPI 1275231433) is an individual dietitian, registered in Centereach, New York, licensed in New York (011259) and active in the NPI registry since February 2023. She is a graduate of Other (2021).

NPPES Registry Identity

NPI1275231433
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKELLY DANIELLE TAHLORCredential: RDN, CDN
Location Address23 S HOWELL AVE STE DCentereach, NY 11720-4445
Mailing Address23 S Howell Ave Ste DCentereach, NY 11720-4445 · (631) 444-2274
Phone(631) 444-2274
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 17, 2023
NPPES CertifiedDecember 6, 2022
✔ NPI 1275231433 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 NY · 011259
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.
23 S HOWELL AVE STE D, Centereach, NY 11720
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Other Identifiers 1

Other011259NY · Dietetics-nutrition (048)

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Danielle Tahlor Rdn, Cdn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769856004
PECOS Enrollment IDI20230328001131

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11720 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MS. FRANTZCHESCA DECADE DNP, FNP-BC
Nurse Practitioner (Family)
23 S HOWELL AVE STE D
CENTEREACH, NY 11720
Suffolk County (631) 444-2274
SONIA VARUGHESE PA-C
Surgery
23 S HOWELL AVE STE D
CENTEREACH, NY 11720
Suffolk County (631) 444-2274
JUSTINE TUTTLE PA
Physician Assistant
23 S HOWELL AVE STE D
CENTEREACH, NY 11720
Suffolk County (631) 444-2274
MARIANNA DAYRE RD
Dietitian, Registered
23 S HOWELL AVE STE D
CENTEREACH, NY 11720
Suffolk County (631) 638-3968

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 Tahlor's NPI number?

The NPI number for Kelly Tahlor is 1275231433. It was assigned to this individual provider in the NPPES registry on February 17, 2023.

Where is Kelly Tahlor located?

Kelly Tahlor practices at 23 S Howell Ave Ste D, Centereach, NY 11720. The listed phone number is (631) 444-2274.

What is Kelly Tahlor's specialty?

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

Is Kelly Tahlor enrolled in Medicare?

Yes. Kelly Tahlor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kelly Tahlor was last updated on February 17, 2023. 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.