NPI 1376493494 · live from the CMS NPI Registry
Kelsey Marie Egan
Dietitian, Registered in Rapid City, SD. National Provider Identifier 1376493494, active.
NPI record
| NPI | 1376493494 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 803 Sioux San Dr, Rapid City, SD 57702 |
| Practice phone | 605-718-6247 |
| Mailing address | 1316 Quincy St, Rapid City, SD 57701 |
| Enumerated | January 29, 2026 |
| Last updated | January 29, 2026 |
| Sole proprietor | Yes |
| Other names | Kelsey Peterson |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.