MRS. KELLI DOMINICK M.ED., LD, RD, CDE
NPI 1346555703
Dietitian, Registered in Vivian, LA

Active since August 10, 2010
712 S CYPRESS ST, VIVIAN, LA 71082(318) 375-2356 Get Directions Write a Review

NPPES record last updated: August 10, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Kelli Dominick M.ed., Ld, Rd, Cde NPPES

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

MRS. KELLI DOMINICK M.ED., LD, RD, CDE (NPI 1346555703) is an individual dietitian, registered in Vivian, Louisiana, licensed in Texas (DT05308) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1346555703
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMRS. KELLI DOMINICKCredential: M.ED., LD, RD, CDE
Location Address712 S CYPRESS STVivian, LA 71082-3206
Mailing Address712 S Cypress StVivian, LA 71082-3206 · (318) 375-2356
Sole ProprietorYes
Enumeration DateAugust 10, 2010
NPI 1346555703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Licenses Licensed in TX · DT05308 Licensed in LA · 1270
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.

Also ListedNutritionistTaxonomy 133N00000X · License DT05308 (TX), 1270 (LA)
Also ListedNutritionist · Nutrition, EducationTaxonomy 133NN1002X · License DT05308 (TX), 1270 (LA)
Also ListedDietitian, Registered · Nutrition, PediatricTaxonomy 133VN1004X · License DT05308 (TX), 1270 (LA)
Also ListedDietitian, Registered · Nutrition, RenalTaxonomy 133VN1005X · License DT05308 (TX), 1270 (LA)
Also ListedDietitian, Registered · Nutrition, MetabolicTaxonomy 133VN1006X · License DT05308 (TX), 1270 (LA)
712 S CYPRESS ST, Vivian, LA 71082

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 Kelli Dominick's NPI number?

The NPI number for Kelli Dominick is 1346555703. It was assigned to this individual provider in the NPPES registry on August 10, 2010.

Where is Kelli Dominick located?

Kelli Dominick practices at 712 S Cypress St, Vivian, LA 71082. The listed phone number is (318) 375-2356.

What is Kelli Dominick's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelli Dominick was last updated on August 10, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.