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

Mrs. Kelli Dominick, MED, LD, RD, CDE

Individual provider Nutritionist · NPI 1346555703

Mrs. Kelli Dominick, MED, LD, RD, CDE is a Nutritionist in Vivian, Louisiana. Practices as a sole proprietor. Licensed in Louisiana and Texas.

Licensed in
LA, TX
In the registry since
2010
Specialties on file
12
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
LD — Licensed Dietitian
A dietitian licensed by a state board.
RD — Registered Dietitian
A credentialed nutrition professional.
CDE — Certified Diabetes Educator
Teaches people to manage diabetes day to day.

See every abbreviation used in this directory →

Practice location Address checks out

712 S Cypress St
Vivian, LA 71082-3206
Phone: (318) 375-2356
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence DT05308 (TX)
Nutritionist Taxonomy 133N00000X · Licence DT05308 (TX)
Nutritionist Taxonomy 133N00000X · Licence 1270 (LA)
Nutrition Education Nutritionist Taxonomy 133NN1002X · Licence DT05308 (TX)
Nutrition Education Nutritionist Taxonomy 133NN1002X · Licence 1270 (LA)
Registered Dietitian Taxonomy 133V00000X · Licence 1270 (LA)
Pediatric Nutrition Registered Dietitian Taxonomy 133VN1004X · Licence DT05308 (TX)
Pediatric Nutrition Registered Dietitian Taxonomy 133VN1004X · Licence 1270 (LA)
Renal Nutrition Registered Dietitian Taxonomy 133VN1005X · Licence DT05308 (TX)
Renal Nutrition Registered Dietitian Taxonomy 133VN1005X · Licence 1270 (LA)
Metabolic Nutrition Registered Dietitian Taxonomy 133VN1006X · Licence DT05308 (TX)
Metabolic Nutrition Registered Dietitian Taxonomy 133VN1006X · Licence 1270 (LA)

Record details

NPI number1346555703
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED , LD , RD , CDE
Sole proprietorYes
NPI enumeratedAugust 10, 2010
Last updated in NPPESAugust 10, 2010