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

Krista Faircloth Kellum, RDN, LDN

Individual provider Registered Dietitian · NPI 1891473492

Krista Faircloth Kellum, RDN, LDN is a Registered Dietitian OR Nutrition Professional in Antioch, Tennessee. Qualified in 2017, 9 years ago. Licensed in Tennessee.

Years since qualifying
9
Licensed in
TN
In the registry since
2023
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

2504 Prairie Hill Dr
Antioch, TN 37013-3682
Phone: (912) 294-7630
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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 LDN0000003477 (TN)

Record details

NPI number1891473492
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN , LDN
Sole proprietorNo
NPI enumeratedJuly 5, 2023
Last updated in NPPESJuly 5, 2023
Certification dateJuly 5, 2023

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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