NPI 1457044356 · live from the CMS NPI Registry
Kelly Nicole Day Adams, MS, RDN, LD
Dietitian, Registered in Shoreview, MN. National Provider Identifier 1457044356, active.
NPI record
| NPI | 1457044356 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 4043 Chatsworth St N Unit 328, Shoreview, MN 55126 |
| Practice phone | 630-373-0884 |
| Enumerated | May 29, 2023 |
| Last updated | February 28, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 4428 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.