Individual provider
KELLY L DEVINE, MS, RDN, LDN
CMS NPPES lists KELLY L DEVINE as an individual provider record with NPI 1003001405. The current record reports a primary practice location in MOKENA, IL and primary taxonomy code 133V00000X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location10847 W LAPORTEMOKENA, IL 60448
- Additional practice location9000 W College PkwyPalos Hills, IL 604651444
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
133V00000XPrimary reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- September 9, 2007
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.