Kelly Otoole Wood, RDN, LDN
NPI 1790288124 · Registered Dietitian · Boise, ID
Enrolled with Medicare as Practitioner - Registered Dietitian Or Nutrition Professional · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Otoole Wood, RDN, LDN is a Registered Dietitian provider in Boise, ID (NPI 1790288124).
Provider details
- NPI number
- 1790288124
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RDN, LDN
- Sex
- Female
- Sole proprietor
- Yes
- License
- D-460 (ID)
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
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 13447 N 2nd AveBoise, ID 83714-9409Phone: (208) 407-8921
Registry dates
- Enumerated
- 2018-03-12
- Last updated
- 2023-11-28
- Certified
- 2023-11-28
Frequently asked questions
- What is Kelly Otoole Wood's NPI number?
- Kelly Otoole Wood's National Provider Identifier (NPI) is 1790288124, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Otoole Wood's specialty?
- Kelly Otoole Wood is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Kelly Otoole Wood located?
- Kelly Otoole Wood's practice location on file with NPPES is 6126 W State St, Boise, ID 83703-2741.
- What is Kelly Otoole Wood's phone number?
- The practice phone number listed in the NPPES registry for Kelly Otoole Wood is (208) 407-8921.
- Does Kelly Otoole Wood accept Medicare?
- Kelly Otoole Wood is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Otoole Wood's NPI active?
- Yes — Kelly Otoole Wood's NPI (1790288124) is active in the NPPES registry as of the last update on 2023-11-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.