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
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- 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
- Code Navigator
Location Map
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) |
---|---|---|---|---|
1 | 133VN1201X | Dietary & Nutritional Service Providers | Dietitian, Registered | 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. | |||||||||
1 | 0 | 1 | 3 | 6 | 4 | 1 | 4 | 3 | 0 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 0 | 2 | 3 | 12 | 4 | 2 | 4 | 6 | |
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 |
1164662888 | COMPREHENSIVE 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 Assistant | 503 BOWMAN GRAY DR GREENVILLE, NC 27834 (252) 816-4001 |
1023134079 | MR. 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 Assistant | 503 BOWMAN GRAY DR GREENVILLE, NC 27834 (252) 816-4001 |
1255779567 | MICHAEL ROBERT KOERNER MD Individual | Orthopaedic Surgery | 503 BOWMAN GRAY DR GREENVILLE, NC 27834 (252) 816-4001 |
1972025245 | MICHELLE LINGNER NP-C Individual | Nurse Practitioner | 503 BOWMAN GRAY DR GREENVILLE, NC 27834 (404) 434-2629 |
1164161519 | NICOLE CLARK BLAND APRN Individual | Nurse Practitioner | 503 BOWMAN GRAY DR GREENVILLE, NC 27834 (252) 816-4001 |
1306290564 | DR. KEVIN ANDREW TAYLOR MD Individual | Orthopaedic Surgery (Hand Surgery) | 503 BOWMAN GRAY DR GREENVILLE, NC 27834 (252) 816-4001 |
1518349463 | SHAWN YEAZELL Individual | Orthopaedic Surgery | 503 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 |
1336323740 | DR. JEFFREY PAUL GARRETT MD Individual | Orthopaedic Surgery | 503 BOWMAN GRAY DR GREENVILLE, NC 27834 (252) 816-4001 |
1255823209 | DR. DOMINIC CAMPANO MD Individual | Orthopaedic Surgery | 503 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 |
1043520802 | MRS. TRACY COLLINS PATERSON FNP Individual | Nurse Practitioner (Family) | 503 BOWMAN GRAY DR GREENVILLE, NC 27834 (252) 816-0600 |
1043655285 | DR. FRANCES CHINENYE OKOLO M.D. Individual | Surgery | 503 BOWMAN GRAY DR GREENVILLE, NC 27834 (252) 816-0600 |
1063450922 | COLLEEN SOLES BUCHER RDN LDN Individual | Dietitian, Registered | 503 BOWMAN GRAY DR GREENVILLE, NC 27834 (252) 816-0600 |
1134415359 | KENJI LAWRENCE LEONARD M.D. Individual | Surgery | 503 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.