Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Lynne Davis, RD, CDN

Individual provider Registered Dietitian · NPI 1932414240

Kelly Lynne Davis, RD, CDN is registered under Registered Dietitian OR Nutrition Professional in New Woodstock, New York. Qualified in 2008, 18 years ago. Practices with Nysarc Inc, a 15-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
18
Licensed in
NY
In the registry since
2010
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

1824 State Route 80
New Woodstock, NY 13122-9715 Not confirmed with CMS for 14 years — call before visiting
Phone: (315) 256-8136
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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 006973-1 (NY)

Record details

NPI number1932414240
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , CDN
Sole proprietorYes
NPI enumeratedAugust 11, 2010
Last updated in NPPESDecember 1, 2011

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Nysarc Inc. — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients24
Services billed 151 a service is one billed item, such as a visit, a test or a procedure
Average patient age61

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Nysarc Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 15 clinicians in the practice; 11 are shown here.