LACY STUART KELLY MS NPI 1437973617

NPI Information

  • NPI: 1437973617
  • Provider Name: LACY STUART KELLY, MS
  • Classification: Nutritionist - 133N00000X
  • Entity Type: Individual
  • Address: 2331 GLYNDON AVE
    VENICE, CA
    ZIP 90291
  • Phone: (203) 249-2254

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NPI Details

Lacy Stuart Kelly, MS is a nutritionist in Venice, CA. The provider is a specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation. Lacy Stuart Kelly, MS NPI is 1437973617. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2331 GLYNDON AVE
VENICE, CA
ZIP 90291-044
Phone: (203) 249-2254

The enumeration date for this NPI number is 11/13/2024 and was last updated on 11/13/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133N00000XNutritionistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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