What is Shannon Kelly's NPI number?

Shannon Kelly's National Provider Identifier (NPI) is 1508712381, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Shannon Kelly's specialty?

Shannon Kelly is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).

Where is Shannon Kelly located?

Shannon Kelly's practice location on file with NPPES is 1110 Lake St Apt 2, Venice, CA 90291-3116.

What is Shannon Kelly's phone number?

The practice phone number listed in the NPPES registry for Shannon Kelly is (630) 702-9703.

Is Shannon Kelly's NPI active?

Yes — Shannon Kelly's NPI (1508712381) is active in the NPPES registry as of the last update on 2026-03-05.

IndividualActive

Shannon Kelly

NPI 1508712381 · Registered Dietitian · Venice, CA

Shannon Kelly is a Registered Dietitian provider in Venice, CA (NPI 1508712381).

Provider details

NPI number: 1508712381
Entity type: Individual
Primary specialty: Registered DietitianDietary & Nutritional Service Providers
Sole proprietor: No

Specialties & taxonomies

Registered DietitianPrimary133V00000X
Dietary & Nutritional Service Providers

Profile Score

Basic profile(46/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
83% 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

1110 Lake St Apt 2

Venice, CA 90291-3116

Phone: (630) 702-9703

Street-level locationGet directions

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Mailing address