IndividualActive
Kelly Brock
NPI 1992324578 · Nutrition Education Nutritionist · Amityville, NY
Provider details
- NPI number
- 1992324578
- Entity type
- Individual
- Primary specialty
- Nutrition Education NutritionistDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
1 Ireland Pl
Amityville, NY 11701-2955
Phone: (631) 514-9750
Street-level locationGet directions
Mailing address
351 44th St
Lindenhurst, NY 11757-2310
Registry dates
- Enumerated
- 2020-04-13
- Last updated
- 2020-04-13
- Certified
- 2020-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.