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KELLY VU NGUYEN RDN
NPI 1396605671
Dietitian, Registered in Prosper, TX

Active since November 17, 2025
4200 W UNIVERSITY DR, PROSPER, TX 75078(945) 204-4100 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 6, 2026, Nov 17, 2025 (2 updates tracked since 2025).

About Kelly Vu Nguyen Rdn NPPES

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

KELLY VU NGUYEN RDN (NPI 1396605671) is an individual dietitian, registered in Prosper, Texas, licensed in Texas (DT92385) and active in the NPI registry since November 2025. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1396605671
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKELLY VU NGUYENCredential: RDN
Location Address4200 W UNIVERSITY DRProsper, TX 75078-9805
Mailing AddressPo Box 733784Dallas, TX 75373-3784
Phone(945) 204-4100
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 17, 2025
Last NPPES UpdateMay 6, 20262 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
✔ NPI 1396605671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Licenses✔ Licensed in TX · DT92385✔ Licensed in CA · 86415152
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.
4200 W UNIVERSITY DR, Prosper, TX 75078
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Vu Nguyen Rdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688139355
PECOS Enrollment IDI20260723000527

Medicare Billing Reassignment

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

Cook Children's Physician Network
43 mi
Pediatrics
801 7TH AVE
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Cook Childrens Physician Network
  • 1,186 clinicians in this Medicare group
NPI 1083472062 (682) 885-6483

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

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.

KARI MILCH PA-C
Physician Assistant
4200 W UNIVERSITY DR
PROSPER, TX 75078
Collin County (682) 303-4200
ALLISON SULLIVAN APRN, FNP-C
Nurse Practitioner (Family)
4200 W UNIVERSITY DR
PROSPER, TX 75078
Collin County (682) 303-4200
JOHN MARION ROBERTSON MD
Pediatrics (Pediatric Pulmonology)
4200 W UNIVERSITY DR
PROSPER, TX 75078
Collin County (682) 303-4200
LAQUATRE R. RHODES DO, MS
Pediatrics (Pediatric Gastroenterology)
4200 W UNIVERSITY DR
PROSPER, TX 75078
Collin County (682) 303-4200
CARLY LEWIS M.S., R.D., L.D.
Dietitian, Registered (Nutrition, Pediatric)
4200 W UNIVERSITY DR
PROSPER, TX 75078
Collin County (682) 303-4200
ABDUL HAFEEZ SIDDIQUI MD
Pediatrics (Pediatric Hematology-Oncology)
4200 W UNIVERSITY DR
PROSPER, TX 75078
Collin County (682) 303-4200
ANTHONY OMOKHEOWA ANANI MD, MPH, MBA
Pediatrics (Pediatric Gastroenterology)
4200 W UNIVERSITY DR
PROSPER, TX 75078
Collin County (682) 303-4200
MADISON KIDS RN
Registered Nurse
4200 W UNIVERSITY DR
PROSPER, TX 75078
Collin County (682) 303-4200

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 Nguyen's NPI number?

The NPI number for Kelly Nguyen is 1396605671. It was assigned to this individual provider in the NPPES registry on November 17, 2025.

Where is Kelly Nguyen located?

Kelly Nguyen practices at 4200 W University Dr, Prosper, TX 75078. The listed phone number is (945) 204-4100.

What is Kelly Nguyen's specialty?

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

Is Kelly Nguyen enrolled in Medicare?

Yes. Kelly Nguyen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Nguyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Nguyen reassigns Medicare benefits to Cook Children's Physician Network (Fort Worth, TX). 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 Kelly Nguyen'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 Kelly Nguyen was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.