KELLI STARR OLDHAM
NPI 1013641430
Dietitian, Registered in Greenville, NC

NPI Status: Active since July 12, 2022

Contact Information

503 BOWMAN GRAY DR
GREENVILLE, NC
ZIP 27834
Phone: (252) 816-0600
Fax: (252) 816-0721

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  • Individual
  • Female
  • Years of Experience 14
  • Dietitian, Registered
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About KELLI OLDHAM

This page provides the complete NPI Profile along with additional information for Kelli Oldham, a provider established in Greenville, North Carolina with a medical specialization in Dietitian, Registered and more than 14 years of experience. The healthcare provider is registered in the NPI registry with number 1013641430 assigned on July 2022. The practitioner's primary taxonomy code is 133V00000X with license number L006181 (NC). The provider is registered as an individual and her NPI record was last updated August 2025.

NPI
1013641430
Provider Name
KELLI STARR OLDHAM
Other Name
KELLI STARR MOORE
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
503 BOWMAN GRAY DR GREENVILLE, NC 27834
Location Phone
(252) 816-0600
Location Fax
(252) 816-0721
Mailing Address
PO BOX 751069 CHARLOTTE, NC 28275
Medical School Name
OTHER
Graduation Year
2012
Is Sole Proprietor?
No
Enumeration Date
07-12-2022
Last Update Date
08-13-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dietitian, Registered

Taxonomy Code
133V00000X
Type
Dietary & Nutritional Service Providers
License No.
L006181
License State
NC
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1133VN1201XDietary & Nutritional Service Providers

Dietitian, Registered
Nutrition, Obesity and Weight Management

L006181 (NC)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Kelli Oldham is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 7618350513

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20220810000208

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Reviews for KELLI STARR OLDHAM

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013641430
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023124246
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 1 + 2 + 4 + 2 + 4 + 6 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1013641430 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1639261191 RICHARD LEE RUMLEY MD
Individual
Internal Medicine (Infectious Disease)503 BOWMAN GRAY DR SUITE A
GREENVILLE, NC 27834
(252) 830-2728
1164662888COMPREHENSIVE THERAPEUTIC SERVICES, LLC
Organization
Psychologist (Rehabilitation)503 BOWMAN GRAY DR SUITE C
GREENVILLE, NC 27834
(252) 413-0842
1366023202 DYLAN LANTZ FNP-BC
Individual
Nurse Practitioner (Family)503 BOWMAN GRAY DR
GREENVILLE, NC 27834
(252) 816-4001
1417620105 REBECCA CATHERINE DAY PA-C
Individual
Physician Assistant503 BOWMAN GRAY DR
GREENVILLE, NC 27834
(252) 816-4001
1023134079MR. SHAWN ALAN MCCARTHY PA-C, ATC
Individual
Physician Assistant (Surgical)503 BOWMAN GRAY DR
GREENVILLE, NC 27834
(252) 816-4001
1073648465 THOMAS BART SATTERFIELD PA-C
Individual
Physician Assistant503 BOWMAN GRAY DR
GREENVILLE, NC 27834
(252) 816-4001
1255779567 MICHAEL ROBERT KOERNER MD
Individual
Orthopaedic Surgery503 BOWMAN GRAY DR
GREENVILLE, NC 27834
(252) 816-4001
1972025245 MICHELLE LINGNER NP-C
Individual
Nurse Practitioner503 BOWMAN GRAY DR
GREENVILLE, NC 27834
(404) 434-2629
1164161519 NICOLE CLARK BLAND APRN
Individual
Nurse Practitioner503 BOWMAN GRAY DR
GREENVILLE, NC 27834
(252) 816-4001
1306290564DR. KEVIN ANDREW TAYLOR MD
Individual
Orthopaedic Surgery (Hand Surgery)503 BOWMAN GRAY DR
GREENVILLE, NC 27834
(252) 816-4001
1518349463 SHAWN YEAZELL
Individual
Orthopaedic Surgery503 BOWMAN GRAY DR
GREENVILLE, NC 27834
(252) 816-4001
1831625516 STERLING CHRISTOPHER KRAMER D.O.
Individual
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)503 BOWMAN GRAY DR
GREENVILLE, NC 27834
(252) 816-4001
1336323740DR. JEFFREY PAUL GARRETT MD
Individual
Orthopaedic Surgery503 BOWMAN GRAY DR
GREENVILLE, NC 27834
(252) 816-4001
1255823209DR. DOMINIC CAMPANO MD
Individual
Orthopaedic Surgery503 BOWMAN GRAY DR
GREENVILLE, NC 27834
(252) 816-4001
1013691328 ASHLEY NICOLE PALDINO NP
Individual
Nurse Practitioner (Acute Care)503 BOWMAN GRAY DR
GREENVILLE, NC 27834
(252) 816-0600
1043292386 SHANNON WRIGHT LONGSHORE M.D.
Individual
Surgery (Pediatric Surgery)503 BOWMAN GRAY DR
GREENVILLE, NC 27834
(252) 816-0600
1043520802MRS. TRACY COLLINS PATERSON FNP
Individual
Nurse Practitioner (Family)503 BOWMAN GRAY DR
GREENVILLE, NC 27834
(252) 816-0600
1043655285DR. FRANCES CHINENYE OKOLO M.D.
Individual
Surgery503 BOWMAN GRAY DR
GREENVILLE, NC 27834
(252) 816-0600
1063450922 COLLEEN SOLES BUCHER RDN LDN
Individual
Dietitian, Registered503 BOWMAN GRAY DR
GREENVILLE, NC 27834
(252) 816-0600
1134415359 KENJI LAWRENCE LEONARD M.D.
Individual
Surgery503 BOWMAN GRAY DR
GREENVILLE, NC 27834
(252) 816-0600

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013641430, enumerated in the NPI registry as an "individual" on July 12, 2022

The provider is located at 503 Bowman Gray Dr Greenville, Nc 27834 and the phone number is (252) 816-0600

The provider's speciality is Dietitian, Registered with taxonomy code 133V00000X

The provider has more than 14 years of experience.

The provider might be accepting Accepts: Aetna CVS Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 12, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.