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Deactivated NPI 1104668490 Deactivated / Inactive NPI Female Practitioner

Kaycee Mullaney , RDN, LDN

Dietitian, Registered • Saint Johns, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kaycee Mullaney has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 10, 2024
NPI Deactivation Date April 23, 2026
Total Practice Duration ~2 Years of Practice (2024 – 2026)

Professional Overview & Biography Verified Profile Summary

Kaycee Mullaney, RDN, LDN was a registered Dietitian, Registered practicing in Saint Johns, FL. Throughout an active medical career spanning 2 years, Kaycee Mullaney provided care at the practice location at 100 AUDUBON PL APT 1314 until profile deactivation on 2026-04-23.

Practice Location & Contact Primary Location

Practice Address

100 Audubon Pl Apt 1314

Saint Johns, FL 322597139

Telephone 5025992176

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Saint Johns, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.1 Yrs
Regional Practice Density
5 Specialists

Practicing in Saint Johns, FL (3492 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 FL ND6109

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.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated April 23, 2026

Record deactivated on April 23, 2026

NPI Profile Active June 10, 2024

NPI status registered as active in NPPES database

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Updated Practice Location June 10, 2024

Registered at 100 AUDUBON PL APT 1314, SAINT JOHNS, FL 322597139 (Tel: 5025992176)

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Updated Business Mailing Address June 10, 2024

Registered at 100 AUDUBON PL APT 1314, SAINT JOHNS, FL 322597139 (Tel: 5025992176)

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Provider Name / Credentials Updated June 10, 2024

Recorded as KAYCEE MULLANEY, RDN, LDN

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2024

Dietitian, Registered (License #ND6109 in FL)

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Initial NPI Registration & Enumeration June 10, 2024

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: 1104668490
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2024
Last Update: June 10, 2024
Deactivation Date: April 23, 2026

Mailing Address

100 Audubon Pl Apt 1314

Saint Johns, FL 322597139

Phone: 5025992176

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.