Mary Kathryn Morgan, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

123157 Issued in KY

Practice address

1002 Lexington Rd Ste 25B
Georgetown, KY 40324-1480

Phone

(502) 735-4577

NPI assigned

Mar 30, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

Locations

Networks

• OH PPO
• TN PPO C-SNP
• KY PPO
• devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
• KY PPO C-SNP
• TN PPO

Interoperability endpoints

• Direct secure messaging: mary.morgan.1@19475.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kentucky Mso LLC

  • Gastroenterology Physician
  • Georgetown, KY
  • NPI 1164867883
  Medicare reassignment NPD
• Kentucky Mso LLC

  • Family Medicine Physician
  • Georgetown, KY
  • NPI 1710252622
  NPD
• Kentucky Mso LLC

  • Rural Health Clinic/Center
  • Lawrenceburg, KY
  • NPI 1922860758
  NPD
• Kentucky Mso LLC

  • Hematology & Oncology Physician
  • Georgetown, KY
  • NPI 1336483957
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1003510132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 WEBER WAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405141104",
            "telephone_number": "859-420-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 LEXINGTON RD STE 25B",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403241480",
            "telephone_number": "502-735-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "MARY",
        "middle_name": "KATHRYN",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "123157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Joy Galera Mongcopa
• Alyssa Brooke Moore, APRN
• Bryan Moore
• Kallie Jo Moore
• Harry Morgan, CRNA
• Michelle Morgan, MA, CCC/SLP
• Ivan David Morrin, MD
• Aneisha P Morris
• Alicia R Morrison
• Jessica Morrow, ATC, CES, CSS, CEFE

• Registered Dietitian in Georgetown, KY
• Providers in Georgetown, KY by specialty
• Registered Dietitian in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.