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KELLY WADE RD
NPI 1891538062
Dietitian, Registered in Birmingham, AL

Active since June 17, 2024
4028 MILNERS CRES, BIRMINGHAM, AL 35242(205) 613-2719 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kelly Wade Rd NPPES

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

KELLY WADE RD (NPI 1891538062) is an individual dietitian, registered in Birmingham, Alabama, licensed in Alabama (871082) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1891538062
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKELLY WADECredential: RD
Location Address4028 MILNERS CRESBirmingham, AL 35242-7302
Mailing Address4028 Milners CresBirmingham, AL 35242-7302
Phone(205) 613-2719
Sole ProprietorNo
Enumeration DateJune 17, 2024
NPPES CertifiedJune 16, 2024
✔ NPI 1891538062 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 AL · 871082
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.
4028 MILNERS CRES, Birmingham, AL 35242
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Wade Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Sodexo Operations LLC
804 mi
Dietitian, Registered
950 W TRENTON AVE UNIT 240
Morrisville, PA 19067
  • Reassigned Medicare billing, Colorado enrollment
  • 2 clinicians in this Medicare group
NPI 1528034436 (267) 317-6845

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

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 Wade's NPI number?

The NPI number for Kelly Wade is 1891538062. It was assigned to this individual provider in the NPPES registry on June 17, 2024.

Where is Kelly Wade located?

Kelly Wade practices at 4028 Milners Cres, Birmingham, AL 35242. The listed phone number is (205) 613-2719.

What is Kelly Wade's specialty?

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

Is Kelly Wade enrolled in Medicare?

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

Which organization bills Medicare for Kelly Wade's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Wade reassigns Medicare benefits to Sodexo Operations LLC (Morrisville, PA). 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 Wade's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Wade accept?

Health plans from Blue Cross and Blue Shield of Alabama list Kelly Wade as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Wade was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.