Keely Bourassa, RD
NPI 1417643149ActiveIndividual· Dietitian, Registered· Terre Haute, IN
Dietitian, Registered (RD) in Terre Haute, Indiana, licensed in IN, with an NPI issued in April 2023.
Overview
| NPI | 1417643149 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RD |
| Sole proprietor | Yes |
| NPI issued | Apr 14, 2023 |
| Last updated in NPPES | Apr 21, 2023 |
| Certified by provider | Apr 21, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 37003359A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other registered dietitians in Terre Haute
- 1265305601
- 1639536410
- 1710222930
- 1740788678
- 1164765210
- 1205115375
- 1255892543
- 1518826056
- 1881246700
- 1699014894
- 1386029130
- 1134796188
All 23 registered dietitians in Terre Haute · All registered dietitians in Indiana