Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Elexis Nicole Kozik, RDN, LDN

Individual provider Registered Dietitian · NPI 1790572709

Elexis Nicole Kozik, RDN, LDN is a Registered Dietitian OR Nutrition Professional in Wexford, Pennsylvania. Qualified in 2020, 6 years ago. Practices with Revelations Counseling and Wellness, a 3-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
6
Licensed in
PA
In the registry since
2025
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.
LDN — Licensed Dietitian Nutritionist
A state-licensed dietitian nutritionist.

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Practice location Address checks out

6500 Brooktree Rd
Wexford, PA 15090-9272
Phone: (724) 719-2669
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence DN008968 (PA)

Record details

NPI number1790572709
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN , LDN
Sole proprietorNo
NPI enumeratedApril 23, 2025
Last updated in NPPESApril 23, 2025
Certification dateApril 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Revelations Counseling And Wellness — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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