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NPI · 1104455930 · NPPES-sourced

Kelsey Wild Rd

ActiveOncology Nutrition Registered Dietitian
NPI Number
1104455930
Type 1 · Individual
Contact
(801) 662-5306
Primary practice line
Last Updated
About 6 years ago (Apr 2020)
Enumerated 2020-04-03
Primary practice addressUT · 84113-1103
100 N Mario Capecchi DrSalt Lake City, UT 84113-1103
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About this NPIWhat this record shows.

NPI 1104455930 is registered to Kelsey Wild Rd, a Oncology Nutrition Registered Dietitian practising at 100 N Mario Capecchi Dr in Salt Lake City, Utah. Oncology Nutrition Registered Dietitian is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Kelsey Wild Rd has been enumerated in the National Provider Identifier (NPI) registry since 2020.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2020-04-03
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Kelsey Wild Rd accepts. To confirm in-network status with your specific health plan, contact Kelsey Wild Rd directly at (801) 662-5306.

Frequently asked

Yes. NPI 1104455930 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Oncology Nutrition Registered Dietitian is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (801) 662-5306.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Kelsey Wild Rd is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy133VN1301X
Last updated2020-04
Enumerated2020-04-03
StatusActive
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3 records · same addressOther providers at this location.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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