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MRS. KELLY ANN BAKES RD, LDN
NPI 1639470354
Dietitian, Registered in Wayne, PA

Active since November 11, 2010Opted out of Medicare · through Oct 25, 2027
175 STRAFFORD AVE STE 1, WAYNE, PA 19087(484) 253-1082 Get Directions Write a Review

NPPES record last updated: November 21, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kelly Ann Bakes Rd, Ldn NPPES

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

MRS. KELLY ANN BAKES RD, LDN (NPI 1639470354) is an individual dietitian, registered in Wayne, Pennsylvania, licensed in Pennsylvania (DN004453) and active in the NPI registry since November 2010. She has opted out of Medicare through October 25, 2027 and maintains a secondary practice location in Wayne.

NPPES Registry Identity

NPI1639470354
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMRS. KELLY ANN BAKESCredential: RD, LDN
Location Address175 STRAFFORD AVE STE 1Wayne, PA 19087-3340
Mailing Address175 Strafford Ave Ste 1Wayne, PA 19087-3340 · (484) 253-1082
Phone(484) 253-1082
Sole ProprietorYes
Enumeration DateNovember 11, 2010
Last NPPES UpdateNovember 21, 2018
✔ NPI 1639470354 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 PA · DN004453
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.
175 STRAFFORD AVE STE 1, Wayne, PA 19087
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Other Names 1

Former Name (1)Miss Kelly Ann Strogen

Secondary Practice Location 1

Location 1215 Sugartown RdWayne, PA 19087-3137 · Phone (610) 964-8800 ext. 65 · Fax (610) 964-9233

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Kelly Ann Bakes Rd, Ldn has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 25, 2015 through October 25, 2027.

Opt-Out Effective DateOctober 25, 2015
Opt-Out In Effect ThroughOctober 25, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 10

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

ANDREA HAKE DOM
Acupuncturist
175 STRAFFORD AVE STE 1
WAYNE, PA 19087
Chester County (610) 772-1740
MELISSA B KORSIN
Social Worker (Clinical)
175 STRAFFORD AVE STE 1
WAYNE, PA 19087
Chester County (267) 300-1796
JESSICA SPIRO RD
Dietitian, Registered
175 STRAFFORD AVE STE 1
WAYNE, PA 19087
Chester County (267) 368-4568
MR. BENJAMIN R COFIELD
Case Manager/Care Coordinator
175 STRAFFORD AVE STE 1
WAYNE, PA 19087
Chester County (267) 281-5007
MCGOVERN PARTNERS LTD.
In Home Supportive Care
175 STRAFFORD AVE STE 1
WAYNE, PA 19087
Chester County (610) 975-4422
CANDID PENNSYLVANIA, LLC
Dentist (Orthodontics and Dentofacial Orthopedics)
175 STRAFFORD AVE STE 1
WAYNE, PA 19087
Chester County (860) 481-7631
DISCOVERY THERAPY
Speech-Language Pathologist
175 STRAFFORD AVE STE 1
WAYNE, PA 19087
Chester County (610) 686-3702
JAY TARNOFF
Psychologist (School)
175 STRAFFORD AVE STE 1
WAYNE, PA 19087
Chester County (215) 779-3934

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 Bakes's NPI number?

The NPI number for Kelly Bakes is 1639470354. It was assigned to this individual provider in the NPPES registry on November 11, 2010. The provider is also known as Miss Kelly Ann Strogen.

Where is Kelly Bakes located?

Kelly Bakes practices at 175 Strafford Ave Ste 1, Wayne, PA 19087. The listed phone number is (484) 253-1082.

What is Kelly Bakes's specialty?

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

Is Kelly Bakes enrolled in Medicare?

No. Kelly Bakes has opted out of Medicare through October 25, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kelly Bakes was last updated on November 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.