Kelly Blackburn, RDN
NPI 1013543172ActiveIndividual· Dietitian, Registered· Lexington, KY
Dietitian, Registered (RDN) with Nourish Inc, practicing in Lexington, Kentucky. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1013543172 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RDN |
| Sole proprietor | Yes |
| NPI issued | Mar 19, 2020 |
| Last updated in NPPES | Jan 27, 2022 |
| Certified by provider | Jan 27, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | — | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (TX) |
|---|
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
| Telehealth | Offers telehealth |
Medical group
- Nourish IncAustin, TX · 300 clinicians
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