Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly M Ellis, MS, MPH, RD, LD/N

Individual provider Registered Dietitian · NPI 1215778444

Kimberly M Ellis, MS, MPH, RD, LD/N is a Registered Dietitian in Port Saint Lucie, Florida. Licensed in Florida. Registered with an NPI since 2024.

Licensed in
FL
In the registry since
2024
What do these letters mean?
MS — Master of Science
A graduate science degree.
MPH — Master of Public Health
A graduate degree in population health.
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

10257 SW Village Pkwy Apt 202
Port Saint Lucie, FL 34987-2367
Phone: (863) 697-0804
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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 ND6277 (FL)

Record details

NPI number1215778444
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , MPH , RD , LD/N
Sole proprietorNo
NPI enumeratedJune 3, 2024
Last updated in NPPESJune 9, 2024
Certification dateJune 9, 2024

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