Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kelly Nicole Derwick, RDN, LN

Individual provider Registered Dietitian · NPI 1033715727

Mrs. Kelly Nicole Derwick, RDN, LN is a Registered Dietitian OR Nutrition Professional in Cape Coral, Florida. Qualified in 2019, 7 years ago. Practices with Florida Kidney Physicians LLC, a 168-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2020
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

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Practice location Address checks out

119 SE 39th St
Cape Coral, FL 33904
Phone: (239) 910-3871
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2852 Tamiami Trl Ste 1, Port Charlotte, FL 33952-5100 — (941) 505-8720

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 10167 (FL)

Record details

NPI number1033715727
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN , LN
Sole proprietorNo
NPI enumeratedDecember 8, 2020
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Florida Kidney Physicians Llc — 168 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Cape Coral