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

Mrs. Kelly Wynne Minarick, RD, RDN, LDN

Individual provider Registered Dietitian · NPI 1073251724

Mrs. Kelly Wynne Minarick, RD, RDN, LDN is a Registered Dietitian OR Nutrition Professional in Lisle, Illinois. Qualified in 2017, 9 years ago. Practices with Doherty Nutrition LLC, a 16-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
9
Licensed in
IL
In the registry since
2022
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.
LDN — Licensed Dietitian Nutritionist
A state-licensed dietitian nutritionist.

See every abbreviation used in this directory →

Practice location Address checks out

650 Warrenville Rd Ste 100
Lisle, IL 60532-4315
Phone: (847) 318-3013
Fax: (833) 290-5413
Show map & directions

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

Additional practice locations (1)

  • 17060 Dallas Pkwy Ste 112, Dallas, TX 75248-1905 — (469) 372-2022

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 164.007272 (IL)

Record details

NPI number1073251724
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , RDN , LDN
Sole proprietorYes
NPI enumeratedMay 23, 2022
Last updated in NPPESMarch 21, 2024
Certification dateMarch 21, 2024

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)
Group practice Doherty Nutrition Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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