CMS-1500 Box 24J / 33a • NPI
1619127305
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
133V00000X (CMS 71)
Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered
Box 32 Service Location & ZIP+4
114 MIDDLE BRANCH RD, OLD FORGE, NY, 13420
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1619127305 (KELLY E. HAMLIN, RD, CDN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1619127305 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | KELLY E. HAMLIN, RD, CDN |
| Plain-English Specialty | Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered NUCC Code: 133V00000X (Dietitian, Registered) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 114 MIDDLE BRANCH RD, OLD FORGE, NY, 13420 |
| Practice Telephone / Fax | Tel: (315) 369-2313 |
| Administrative Mailing Address | PO BOX 213, OLD FORGE, NY, 13420-0213 |
| Enumeration & Last Sync | Enumerated: 2008-09-30 | CMS Record Updated: 2008-09-30 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (133V00000X)
What Does Taxonomy Code 133V00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 133V00000X translates to:
"Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (KELLY E. HAMLIN, RD, CDN)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
133V00000X — Dietitian, RegisteredPlain English: Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered | State: NY | License: 005683-1 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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