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KELLY KOONS RD, CDE, LD
NPI 1912344573
Dietitian, Registered in Edgewater, FL

Active since May 22, 2013
100/100
CMS Quality Rating
109 W KNAPP AVE, EDGEWATER, FL 32132(386) 427-4544(386) 427-8688 Get Directions Write a Review

NPPES record last updated: May 22, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Koons Rd, Cde, Ld NPPES

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

KELLY KOONS RD, CDE, LD (NPI 1912344573) is an individual dietitian, registered in Edgewater, Florida, licensed in Florida (ND3884) and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1912344573
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKELLY KOONSCredential: RD, CDE, LD
Location Address109 W KNAPP AVEEdgewater, FL 32132-1555
Mailing Address109 W Knapp AveEdgewater, FL 32132-1555 · (386) 427-4544 · Fax (386) 427-8688
Phone(386) 427-4544
Fax(386) 427-8688
Sole ProprietorNo
Enumeration DateMay 22, 2013
✔ NPI 1912344573 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 FL · ND3884
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.
109 W KNAPP AVE, Edgewater, FL 32132
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Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

STEPHANIE L STRATTON-BOONE R.D.
Dietitian, Registered
109 W KNAPP AVE
EDGEWATER, FL 32132
Volusia County (386) 427-4544
COASTAL ESTHETICS, LLC
Family Medicine (Adult Medicine)
109 W KNAPP AVE
EDGEWATER, FL 32132
Volusia County (386) 957-4100
MRS. CARISSA PETERSON ARNP
Nurse Practitioner (Adult Health)
109 W KNAPP AVE
EDGEWATER, FL 32132
Volusia County (386) 957-4100
LESLIE R BETTS
Registered Nurse (Diabetes Educator)
109 W KNAPP AVE
EDGEWATER, FL 32132
Volusia County (386) 427-4544
JONATHAN MICHAEL TREECE M.D.
Family Medicine
109 W KNAPP AVE
EDGEWATER, FL 32132
Volusia County (386) 957-4100
ASHLEY MICHELLE STEIERT NP
Nurse Practitioner (Family)
109 W KNAPP AVE
EDGEWATER, FL 32132
Volusia County (386) 957-4100

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 Koons's NPI number?

The NPI number for Kelly Koons is 1912344573. It was assigned to this individual provider in the NPPES registry on May 22, 2013.

Where is Kelly Koons located?

Kelly Koons practices at 109 W Knapp Ave, Edgewater, FL 32132. The listed phone number is (386) 427-4544.

What is Kelly Koons's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelly Koons was last updated on May 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.