OrganizationActive
Kelly Nutrition, LLC
NPI 1033972518 · Clinic/Center · Lafayette, IN
Kelly Nutrition, LLC is a Clinic/Center organization in Lafayette, IN (NPI 1033972518).
Provider details
- NPI number
- 1033972518
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kelly Vandame, Owner(765) 413-5609
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
100 Executive Dr Ste F
Lafayette, IN 47905-4864
Phone: (765) 413-5609
Street-level locationGet directions
Mailing address
5134 Florence Ln
Lafayette, IN 47905-7741
Registry dates
- Enumerated
- 2024-02-06
- Last updated
- 2024-05-28
- Certified
- 2024-05-28
Frequently asked questions
- What is Kelly Nutrition, LLC's NPI number?
- Kelly Nutrition, LLC's National Provider Identifier (NPI) is 1033972518, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kelly Nutrition, LLC?
- Kelly Nutrition, LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Kelly Nutrition, LLC located?
- Kelly Nutrition, LLC's practice location on file with NPPES is 100 Executive Dr Ste F, Lafayette, IN 47905-4864.
- What is Kelly Nutrition, LLC's phone number?
- The practice phone number listed in the NPPES registry for Kelly Nutrition, LLC is (765) 413-5609.
- Who is the authorized official for Kelly Nutrition, LLC?
- The authorized official listed on Kelly Nutrition, LLC's NPPES record is Kelly Vandame, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kelly Nutrition, LLC's NPI active?
- Yes — Kelly Nutrition, LLC's NPI (1033972518) is active in the NPPES registry as of the last update on 2024-05-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.