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JOSSELINE KELLEY RDN
NPI 1346110749
Dietitian, Registered in Grantsville, UT

Active since November 10, 2025
596 E GRANT AVE, GRANTSVILLE, UT 84029(801) 678-7478 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 19, 2025, Nov 10, 2025 (2 updates tracked since 2025).

About Josseline Kelley Rdn NPPES

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

JOSSELINE KELLEY RDN (NPI 1346110749) is an individual dietitian, registered in Grantsville, Utah, licensed in Utah (13217762-4901) and active in the NPI registry since November 2025. She maintains a secondary practice location in Murray and is a graduate of Other (2021).

NPPES Registry Identity

NPI1346110749
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameJOSSELINE KELLEYCredential: RDN
Location Address596 E GRANT AVEGrantsville, UT 84029-4906
Mailing AddressPo Box 30180Salt Lake City, UT 84130-0180
Phone(801) 678-7478
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 10, 2025
Last NPPES UpdateFebruary 23, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2026
✔ NPI 1346110749 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 UT · 13217762-4901
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.
596 E GRANT AVE, Grantsville, UT 84029
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Other Names 1

Other Name (5)Josseline Williams Rdn

Secondary Practice Location 1

Location 15121 S Cottonwood StMurray, UT 84107-5701 · Phone (801) 507-7000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Josseline Kelley Rdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709340052
PECOS Enrollment IDI20260708003797

Medicare Billing Reassignment

Medicare enrollment records show Josseline Kelley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ihc Health Services Inc
7.3 mi
Multi-Specialty
196 E 2000 N
Tooele, UT 84074
  • Reassigned Medicare billing, Utah enrollment
  • 1,729 clinicians in this Medicare group
NPI 1497989255 (801) 507-3500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Josseline Kelley's NPI number?

The NPI number for Josseline Kelley is 1346110749. It was assigned to this individual provider in the NPPES registry on November 10, 2025. The provider is also known as Josseline Williams Rdn.

Where is Josseline Kelley located?

Josseline Kelley practices at 596 E Grant Ave, Grantsville, UT 84029. The listed phone number is (801) 678-7478.

What is Josseline Kelley's specialty?

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

Is Josseline Kelley enrolled in Medicare?

Yes. Josseline Kelley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Josseline Kelley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Josseline Kelley reassigns Medicare benefits to Ihc Health Services Inc (Tooele, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Josseline Kelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Josseline Kelley was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.