KESTA L TAYLOR – Registered Dietitian, NPI 1649388703

KESTA L TAYLOR is a healthcare provider. based in Idaho falls, Idaho. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. The NPI Number for KESTA L TAYLOR is 1649388703

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
KESTA L TAYLOR
NPI
1649388703
Phone
(208) 523-1122
Address
2220 E 25TH ST
Enumeration Date
29 August 2006
Last Update Date
28 January 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2085231122
Graduation Year
2005 (21 years ago)
PAC ID
0941389977
Group Practice PAC ID
5890750483
Professional Enrollment ID
I20080502000050
Address ID
ID834047596ID3910XPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

94 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in ID

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Provider Addresses for KESTA L TAYLOR

  • 2220, East 25th Street, Idaho Falls, Bonneville County, Idaho, 83404, United States

    IDAHO FALLS, ID 834047542

    Phone: (208) 523-1122

    Fax: (208) 523-6025

    Type: Location

  • 3910, Washington Parkway, Idaho Falls, Bonneville County, Idaho, 83404, United States

    IDAHO FALLS, ID 834047596

    Phone: (208) 523-1122

    Fax: (208) 523-6025

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-05-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080502000050IRegistered Dietitian Or Nutrition ProfessionalIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97803Therapy procedure reassessment for nutrition management, each 15 minutes9422$0
G0108Diabetes outpatient self-management training services, individual, per 30 minutes4322$0
View full utilization report →

Insurance plans in this area (ZIP 83404)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890750483View full group profile
NameSpecialtyState
Nurse PractitionerPA
Registered Dietitian Or Nutrition ProfessionalID
E N D O C R I N O L O G YID
Registered Dietitian Or Nutrition ProfessionalID
Nurse PractitionerID
-ID
Registered Dietitian Or Nutrition ProfessionalID
Nurse PractitionerID
Endocrinology, Internal MedicineID
Registered Dietitian Or Nutrition ProfessionalID

Reviews

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Frequently asked questions

Can I cross-check KESTA L TAYLOR using NPI 1649388703?
NPI 1649388703 belongs to KESTA L TAYLOR; compare other details if you need extra assurance.
Is KESTA L TAYLOR still an active registrant?
KESTA L TAYLOR carries an active NPI according to the public dataset.
What kind of doctor is KESTA L TAYLOR?
KESTA L TAYLOR is associated with Registered Dietitian in the directory — Clinical services aligned with this taxonomy classification.
Where in Idaho is KESTA L TAYLOR registered?
Use Idaho Falls, Idaho as the headline location for KESTA L TAYLOR here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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