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KAYLYN ELISE KOONS RD, LD
NPI 1639051808
Dietitian, Registered in Gainesville, FL

Active since July 21, 2025
3009 SW WILLISTON RD, GAINESVILLE, FL 32608(352) 294-5400 Get Directions Write a Review

NPPES record last updated: August 9, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kaylyn Elise Koons Rd, Ld NPPES

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

KAYLYN ELISE KOONS RD, LD (NPI 1639051808) is an individual dietitian, registered in Gainesville, Florida, licensed in Florida (ND14435) and active in the NPI registry since July 2025. She maintains a secondary practice location in Gainesville.

NPPES Registry Identity

NPI1639051808
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKAYLYN ELISE KOONSCredential: RD, LD
Location Address3009 SW WILLISTON RDGainesville, FL 32608-3928
Mailing AddressPo Box 100236Gainesville, FL 32610-0236 · (352) 273-5550
Phone(352) 294-5400
Sole ProprietorNo
Enumeration DateJuly 21, 2025
Last NPPES UpdateAugust 9, 2025
NPPES CertifiedAugust 9, 2025
✔ NPI 1639051808 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 FL · ND14435✔ Licensed in FL · 14435
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.
3009 SW WILLISTON RD, Gainesville, FL 32608
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Secondary Practice Location 1

Location 1572 Newell DrGainesville, FL 32611-1907 · Phone (352) 359-7775

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaylyn Elise Koons Rd, Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Florida Clinical Practice Association Inc
2.7 mi
Surgery
1600 SW ARCHER RD
Gainesville, FL 32610
  • Reassigned Medicare billing, Florida enrollment
  • 3,324 clinicians in this Medicare group
NPI 1063463768 (352) 265-7922

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 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA MARIE DARUSZ MD
Psychiatry & Neurology (Neurology)
3009 SW WILLISTON RD
GAINESVILLE, FL 32608
Alachua County (352) 294-5400
SAMUEL BENJAMIN FRYE
Speech-Language Pathologist
3009 SW WILLISTON RD
GAINESVILLE, FL 32608
Alachua County (352) 294-5400
MAYRA MONTALVO PERERO M.D.
Psychiatry & Neurology (Neurology)
3009 SW WILLISTON RD
GAINESVILLE, FL 32608
Alachua County (401) 316-0906
MADISON STANFORD PA-C
Physician Assistant
3009 SW WILLISTON RD
GAINESVILLE, FL 32608
Alachua County (352) 294-5400
MRS. ABIGAIL IVY CORRIVEAU APRN
Nurse Practitioner (Gerontology)
3009 SW WILLISTON RD
GAINESVILLE, FL 32608
Alachua County (352) 294-5400
ERIN TRIFILIO PHD
Psychologist (Clinical)
3009 SW WILLISTON RD
GAINESVILLE, FL 32608
Alachua County (352) 294-5400
JASON LLOYD CHAN MD, PHD
Student in an Organized Health Care Education/Training Program
3009 SW WILLISTON RD
GAINESVILLE, FL 32608
Alachua County (352) 294-5400
ARIANE VEILLEUX CARPENTIER MD
Student in an Organized Health Care Education/Training Program
3009 SW WILLISTON RD
GAINESVILLE, FL 32608
Alachua County (352) 294-5400

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 Kaylyn Koons's NPI number?

The NPI number for Kaylyn Koons is 1639051808. It was assigned to this individual provider in the NPPES registry on July 21, 2025.

Where is Kaylyn Koons located?

Kaylyn Koons practices at 3009 SW Williston Rd, Gainesville, FL 32608. The listed phone number is (352) 294-5400.

What is Kaylyn Koons's specialty?

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

Is Kaylyn Koons enrolled in Medicare?

Yes. Kaylyn Koons is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kaylyn Koons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaylyn Koons reassigns Medicare benefits to Florida Clinical Practice Association Inc (Gainesville, FL). 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 Kaylyn Koons'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 Kaylyn Koons was last updated on August 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.