Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1346340445 Individual Practitioner Female Practitioner

Mary Ann Kelly , RD

Dietitian, Registered • Simpson, PA

Professional Overview & Biography Verified Profile Summary

Mary Ann Kelly, RD is a registered healthcare professional specializing in Dietitian, Registered in Simpson, PA. Practice services are available at 705 MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

705 Main St

Simpson, PA 184071215

Telephone 5709557133

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Simpson, PA

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

Practicing in Simpson, PA (3119 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

CMS Verified: 2025-10-27
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License PA DN000257

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.

Dietitian, Registered

NUCC Taxonomy Code: 133V00000X

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.

Dietitian, Registered

NUCC Taxonomy Code: 133V00000X

State License NY 816228

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

Medicaid State Provider ID
1346340445 (NY)
Commercial Insurance / Payer ID Nutrition
1346340445 (NY)

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location October 27, 2025

Registered at 705 MAIN ST, SIMPSON, PA 184071215 (Tel: 5709557133)

📍
Updated Business Mailing Address October 27, 2025

Registered at 705 MAIN ST, SIMPSON, PA 184071215 (Tel: 5709557133)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2025

Dietitian, Registered (License #DN000257 in PA)

📍
Updated Practice Location October 18, 2021

Registered at 1000 E MOUNTAIN BLVD, WILKES BARRE, PA 187110027 (Tel: 5708087803)

📍
Updated Business Mailing Address October 18, 2021

Registered at 100 N ACADEMY AVE, DANVILLE, PA 178224903 (Tel: 5702716144)

👤
Provider Name / Credentials Updated October 18, 2021

Recorded as MARY ANN KELLY, RD

NPI Profile Active January 28, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location January 28, 2010

Registered at 10-42 MITCHELL AVE, BINGHAMTON, NY 13903 (Tel: 6077636600)

📍
Updated Business Mailing Address January 28, 2010

Registered at 346 GRAND AVE, JOHNSON CITY, NY 13790 (Tel: 6077700025)

👤
Provider Name / Credentials Updated January 28, 2010

Recorded as MARYANNE PROKARYM, RD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2010

Dietitian, Registered (License #816228 in NY)

🟢
Initial NPI Registration & Enumeration September 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1346340445
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 25, 2006
Last Update: October 27, 2025
Sole Proprietor: No

Mailing Address

705 Main St

Simpson, PA 184071215

Phone: 5709557133

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.