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Kelly L Devine , MS, RDN, LDN

Dietitian, Registered β€’ Mokena, IL

Active NPI 1003001405 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

10847 W Laporte
Mokena, IL 60448

Call 7086089014 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

10847 W Laporte

Mokena, IL 60448

Telephone 7086089014
Fax 7083770060
Organization at the Same NPPES Address or Phone
Devine Nutrition Inc Facility NPI 1982012241

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 Palos Hills, IL. 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.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2006

Years since graduation

20 years (graduated 2006)

CMS Doctors and Clinicians data list 2006 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2007

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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

Enrolled in Medicare (PECOS)

Kelly Devine has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Mokena and Illinois

8 active clinicians are listed under Dietitian, Registered with a practice address in Mokena, IL (2,870 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

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: 2026-03-10
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES IL 164.004722

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: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL

Medicare Enrollment ID

I20240604002799

Enrollment State Jurisdiction

IL

PECOS Control ID

2062502941

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

9000 W College Pkwy

Palos Hills, IL 604651444

Phone: 7086089014

Career & Practice History Timeline

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

14 Historical Events
πŸ“
Updated Practice Location March 10, 2026

Registered at 10847 W LAPORTE, MOKENA, IL 60448 (Tel: 7086089014)

πŸ“
Updated Practice Location February 18, 2025

Registered at 7224 W COLLEGE DR, PALOS HEIGHTS, IL 604631171 (Tel: 7086089014)

πŸ“
Updated Practice Location March 04, 2024

Registered at 6811 167TH ST STE 6, TINLEY PARK, IL 604772501 (Tel: 7086089014)

πŸ“
Updated Business Mailing Address March 04, 2024

Registered at 6521 CHARLESTON ST, OAK FOREST, IL 604522626 (Tel: 7086120876)

πŸ‘€
Provider Name / Credentials Updated March 04, 2024

Recorded as KELLY DEVINE, MS, RDN, LDN

πŸ“
Updated Practice Location February 17, 2021

Registered at 6836 WESTVIEW DR, OAK FOREST, IL 604521561 (Tel: 7086120876)

πŸ“
Updated Business Mailing Address February 17, 2021

Registered at 6836 WESTVIEW DR, OAK FOREST, IL 604521561 (Tel: 7086120876)

πŸ‘€
Provider Name / Credentials Updated February 17, 2021

Recorded as KELLY DEVINE RICKERT, MS, RDN, CSSD, LDN

βœ…
NPI Profile Active January 25, 2008

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 25, 2008

Registered at 6840 W WINDING TRL UNIT 401, OAK FOREST, IL 604525220 (Tel: 7086120876)

πŸ“
Business Mailing Address (Initial Record) January 25, 2008

Registered at 6840 W WINDING TRL UNIT 401, OAK FOREST, IL 604525220 (Tel: 7086120876)

πŸ‘€
Provider Name / Credentials (Initial Record) January 25, 2008

Recorded as KELLY DEVINE, MS, RD, LDN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2008

Dietitian, Registered (license number reported to NPPES: IL 164.004722)

🟒
Initial NPI Registration & Enumeration September 09, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1003001405
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 09, 2007
Last Update: March 10, 2026
Sole Proprietor: No

Mailing Address

6521 Charleston St

Oak Forest, IL 604522626

Phone: 7086120876

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.