Kelly Ann McCormick, RD
NPI 1801431259ActiveIndividual· Dietitian, Registered· Avondale, AZ
Dietitian, Registered (RD) with Am Nutrition Services, practicing in Avondale, Arizona. Medicare paid $6,054 for services to 20 patients in 2024.
Overview
| NPI | 1801431259 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RD |
| Sole proprietor | No |
| NPI issued | Nov 8, 2019 |
| Last updated in NPPES | Nov 8, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 86079831 | AZ |
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) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 20 |
|---|---|
| Services billed | 224 across 3 procedure codes |
| Paid by Medicare | $6,054 |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
Medical group
- Am Nutrition ServicesGlendale, AZ · 47 clinicians
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