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

Q: 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.

Q: What is Kaylyn Koons's specialty?

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

Q: 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 12 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.

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: August 09, 2026.

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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 and is a graduate of Other (2025).

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

Medical School CMSOtherGraduated 2025

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID1254833767

PECOS Enrollment IDI20250904003186

Other Providers at the Same Location NPPES 15

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

JESSICA MARIE DARUSZ MD

Psychiatry & Neurology (Neurology)