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Kayla Lee Holtz , MS, RD, LDN

Dietitian, Registered β€’ St Augustine, FL

Active NPI 1528502937 Individual Practitioner Female Practitioner
Practice location in NPPES

400 Health Park Blvd
St Augustine, FL 320865784

Call 9048195155 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

400 Health Park Blvd

St Augustine, FL 320865784

Telephone 9048195155
Organization at the Same NPPES Address or Phone
Emergency Physicians Of St. Johns County Facility NPI 1801881818

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Marlborough, MA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in St Augustine and Florida

21 active clinicians are listed under Dietitian, Registered with a practice address in St Augustine, FL (3,443 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in St Augustine

0% of these 21 clinicians have the CMS telehealth indicator.

0% of these 21 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-01-22
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES FL 86030166

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Secondary Practice Locations

157 Union St

Marlborough, MA 017521228

Phone: 5083341000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

26 listed
Dr. David Ballack , DO

Psychiatry & Neurology - Psychiatry

NPI 1386134419

Doctor of Osteopathic Medicine (D.O.)

Eli Billeter

Nurse Practitioner - Family

NPI 1063817948
Dr. Todd Broder , MD

Psychiatry & Neurology - Psychiatry

NPI 1699849349

Doctor of Medicine (M.D.)

Dr. David Cabezas , MD

Family Medicine

NPI 1063547677

Doctor of Medicine (M.D.)

Dr. Erin Coletti , DO

Internal Medicine

NPI 1639733983

Doctor of Osteopathic Medicine (D.O.)

Lidia Dalessandro , APRN

Nurse Practitioner

NPI 1700268992

Advanced Practice Registered Nurse

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ‘€
Provider Name / Credentials Updated January 22, 2025

Recorded as KAYLA HOLTZ, MS, RD, LDN

βœ…
NPI Profile Active December 05, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 05, 2016

Registered at 400 HEALTH PARK BLVD, ST AUGUSTINE, FL 320865784 (Tel: 9048195155)

πŸ“
Business Mailing Address (Initial Record) December 05, 2016

Registered at 1701 SAN PABLO RD S, APT. 310, JACKSONVILLE, FL 322242088 (Tel: 8605594512)

πŸ‘€
Provider Name / Credentials (Initial Record) December 05, 2016

Recorded as KAYLA VOSBURGH, MS, RD, LDN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2016

Dietitian, Registered (license number reported to NPPES: FL 86030166)

🟒
Initial NPI Registration & Enumeration December 05, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1528502937
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 05, 2016
Last Update: January 22, 2025
Sole Proprietor: No

Mailing Address

1701 San Pablo Rd S, Apt. 310

Jacksonville, FL 322242088

Phone: 8605594512

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.