Kelli Wall, RDN
NPI 1508511122 · Registered Dietitian · Detroit, MI
Enrolled with Medicare as Practitioner - Registered Dietitian Or Nutrition Professional · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelli Wall, RDN is a Registered Dietitian provider in Detroit, MI (NPI 1508511122).
Provider details
- NPI number
- 1508511122
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RDN
- Sex
- Female
- Sole proprietor
- No
- License
- 86044997 (MI)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Mailing address
Registry dates
- Enumerated
- 2022-02-14
- Last updated
- 2022-02-14
- Certified
- 2022-02-14
Frequently asked questions
- What is Kelli Wall's NPI number?
- Kelli Wall's National Provider Identifier (NPI) is 1508511122, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelli Wall's specialty?
- Kelli Wall is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Kelli Wall located?
- Kelli Wall's practice location on file with NPPES is 13901 E Jefferson Ave, Detroit, MI 48215-2720.
- What is Kelli Wall's phone number?
- The practice phone number listed in the NPPES registry for Kelli Wall is (313) 821-2591.
- Does Kelli Wall accept Medicare?
- Kelli Wall is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelli Wall's NPI active?
- Yes — Kelli Wall's NPI (1508511122) is active in the NPPES registry as of the last update on 2022-02-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.