IndividualActive
Kelley Blasa, RD, LDN
NPI 1700055100 · Registered Dietitian · Hannibal, MO
Kelley Blasa, RD, LDN is a Registered Dietitian provider in Hannibal, MO (NPI 1700055100).
Provider details
- NPI number
- 1700055100
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, LDN
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES 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
11197 W Lakeshore Dr
Hannibal, MO 63401-7386
Phone: (573) 221-1354
Street-level locationGet directions
Mailing address
11197 W Lakeshore Dr
Hannibal, MO 63401-7386
Registry dates
- Enumerated
- 2008-02-29
- Last updated
- 2008-02-29
Frequently asked questions
- What is Kelley Blasa's NPI number?
- Kelley Blasa's National Provider Identifier (NPI) is 1700055100, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelley Blasa's specialty?
- Kelley Blasa is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Kelley Blasa located?
- Kelley Blasa's practice location on file with NPPES is 11197 W Lakeshore Dr, Hannibal, MO 63401-7386.
- What is Kelley Blasa's phone number?
- The practice phone number listed in the NPPES registry for Kelley Blasa is (573) 221-1354.
- Is Kelley Blasa's NPI active?
- Yes — Kelley Blasa's NPI (1700055100) is active in the NPPES registry as of the last update on 2008-02-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.