Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1982702304 Individual Practitioner Female Practitioner

Ilze Kiselis , MSRD LDN

Nutritionist • Worcester, MA

Professional Overview & Biography Verified Profile Summary

Ilze Kiselis, MSRD LDN is a registered healthcare professional specializing in Nutritionist in Worcester, MA. Practice services are available at 5 NEPONSET ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5 Neponset St

Worcester, MA 016062714

Telephone 5088526175
Fax 5085952123
Associated Practice Facility / Clinic
🏢 Reliant Medical Group, Inc Facility NPI 1720017528

Specialty Benchmarks & Practice Insights

Comparative analytics for Nutritionist in Worcester, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 25.3 Yrs
Regional Practice Density
7 Specialists

Practicing in Worcester, MA (124 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

Nutritionist Primary Specialty

NUCC Taxonomy Code: 133N00000X

State License MA 632

A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.

Dietitian, Registered

NUCC Taxonomy Code: 133V00000X

State License MA 632

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Fallon Community Health P
67853
Commercial Insurance / Payer ID Blue Cross
LD0139
Commercial Insurance / Payer ID Private Healthcare System
042472266
Commercial Insurance / Payer ID Harvard Pilgrim Healthcar
AA16844
Commercial Insurance / Payer ID Three Rivers
042472266
Commercial Insurance / Payer ID Aetna Us Healthcare
7001600

Practice Associates & Co-Workers

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

14 Associated Practitioners
Lindsey Gesualdi , RD

Dietitian, Registered

NPI 1013161769

Registered Dietitian

NPI 1043326721
NPI 1073692307

MSRDLDN

Inmay Macneil , MS, RD, LDN

Dietitian, Registered

NPI 1073836565

Master of Science, Registered Dietitian, Licensed Dietitian Nutritionist

Wendy Osborn , RD

Dietitian, Registered

NPI 1093134264

Registered Dietitian

NPI 1124132881

RDLDN

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location September 26, 2018

Registered at 5 NEPONSET ST, WORCESTER, MA 016062714 (Tel: 5088526175)

📍
Updated Business Mailing Address September 26, 2018

Registered at 5 NEPONSET ST FL STREET12, WORCESTER, MA 016062714 (Tel: 5088526175)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2018

Dietitian, Registered (License #632 in MA)

NPI Profile Active October 31, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 31, 2012

Registered at 630 PLANTATION ST, WORCESTER, MA 01605 (Tel: 5088526175)

📍
Updated Business Mailing Address October 31, 2012

Registered at 630 PLANTATION STREET, WORCESTER, MA 01605 (Tel: 5088526175)

👤
Provider Name / Credentials Updated October 31, 2012

Recorded as ILZE KISELIS, MSRD LDN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2012

Nutritionist (License #632 in MA)

🟢
Initial NPI Registration & Enumeration September 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1982702304
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2006
Last Update: September 26, 2018
Sole Proprietor: No

Mailing Address

5 Neponset St Fl Street12

Worcester, MA 016062714

Phone: 5088526175

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.