MRS. KELLY L SCOTT (RD, LD) – Registered Dietitian, NPI 1104222652

MRS. KELLY L SCOTT (RD, LD) is a healthcare provider. based in Poland, Ohio. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials RD, LD. They hold a License No. LD.6119 (OH). The NPI Number for MRS. KELLY L SCOTT (RD, LD) is 1104222652

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KELLY L SCOTT (RD, LD)
NPI
1104222652
Phone
(330) 550-3655
Address
1755 ISLAND DR
Enumeration Date
11 November 2014
Last Update Date
14 January 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3305503655
Graduation Year
2007 (19 years ago)
PAC ID
8527378181
Professional Enrollment ID
I20151111000865
Address ID
OH445125060BO940XXCTXX304
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

283 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in OH

Provider Addresses for MRS. KELLY L SCOTT (RD, LD)

  • 1755 ISLAND DR

    POLAND, OH 445145603

    Phone: (330) 550-3655

    Fax: (888) 482-5741

    Type: Mailing

  • 819 SOUTHWESTERN RUN

    YOUNGSTOWN, OH 445143688

    Phone: (330) 629-9991

    Type: Location

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: 2015-11-11

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
I20151111000865IRegistered Dietitian Or Nutrition ProfessionalOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44514)

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Reviews

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Frequently asked questions

Where can patients find MRS. KELLY L SCOTT (RD, LD)'s NPI?
You can confirm MRS. KELLY L SCOTT (RD, LD) with NPI 1104222652; it appears in the national provider directory.
Is MRS. KELLY L SCOTT (RD, LD)'s NPI currently valid?
The extract we use shows MRS. KELLY L SCOTT (RD, LD) as active.
What does MRS. KELLY L SCOTT (RD, LD) treat or focus on?
Patients typically see MRS. KELLY L SCOTT (RD, LD) under the specialty Registered Dietitian. Clinical services aligned with this taxonomy classification.
Does MRS. KELLY L SCOTT (RD, LD) practice in Ohio?
You will see Poland, Ohio on file for MRS. KELLY L SCOTT (RD, LD) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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