Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053565366 Individual Practitioner Female Practitioner

Kelly Jean Perez , REGISTERED DIETITIAN

Dietitian, Registered • Ft. Wainwright, AK

Professional Overview & Biography Verified Profile Summary

Kelly Perez, REGISTERED DIETITIAN is a registered healthcare professional specializing in Dietitian, Registered in Ft. Wainwright, AK. Practice services are available at 4076 NEELY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4076 Neely Rd

Ft. Wainwright, AK 99703

Telephone 2544955506

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Ft. Wainwright, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.6 Yrs
Regional Practice Density
5 Specialists

Practicing in Ft. Wainwright, AK (240 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License NC L003552

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Alexander Blake , PA-C

Physician Assistant

NPI 1104532795

Physician Assistant (Certified)

Dr. Rebecca Sheridan , MD

Obstetrics & Gynecology

NPI 1720218431

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location April 18, 2018

Registered at 4076 NEELY RD, FT. WAINWRIGHT, AK 99703 (Tel: 2544955506)

📍
Updated Business Mailing Address April 18, 2018

Registered at 523 LILY DR APT 1, FT WAINWRIGHT, AK 997031531 (Tel: 2544955506)

👤
Provider Name / Credentials Updated April 18, 2018

Recorded as KELLY PEREZ, REGISTERED DIETITIAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2018

Dietitian, Registered (License #L003552 in NC)

NPI Profile Active November 13, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location November 13, 2008

Registered at 9040 FITZSIMMONS DR, TACOMA, WA 984311000 (Tel: 2539680547)

📍
Updated Business Mailing Address November 13, 2008

Registered at 2602 WESTRIDGE AVE W, APT. X 203, TACOMA, WA 984661881 (Tel: 3346143953)

👤
Provider Name / Credentials Updated November 13, 2008

Recorded as KELLY PEREZ, N/A

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2008

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration November 13, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053565366
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 13, 2008
Last Update: April 18, 2018
Sole Proprietor: No

Mailing Address

523 Lily Dr Apt 1

Ft Wainwright, AK 997031531

Phone: 2544955506

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.