Kelly Lynne Davis, RD, CDN
NPI 1932414240ActiveIndividual· Dietitian, Registered· New Woodstock, NY
Dietitian, Registered (RD, CDN) with Nysarc Inc., practicing in New Woodstock, New York. Medicare paid $3,788 for services to 24 patients in 2024.
Overview
| NPI | 1932414240 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RD, CDN |
| Sole proprietor | Yes |
| NPI issued | Aug 11, 2010 |
| Last updated in NPPES | Dec 1, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 006973-1 | NY |
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 (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 24 |
|---|---|
| Services billed | 151 across 2 procedure codes |
| Paid by Medicare | $3,788 |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
Medical group
- Nysarc Inc.Cortland, NY · 15 clinicians