Active NPI
Kristy Lee Bledsoe, RD LD
- Registered Dietitian
- Irvine, KY
National Provider Identifier
1013198753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- KY1702
- Practice address
- 365 River Drive
Irvine, KY 40336-0115 - Phone
- (606) 723-5181
- Fax
- (606) 723-5254
- NPI assigned
- Nov 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | KY1702 | KY | Primary |
Addresses
Primary practice location
365 River Drive
Irvine, KY 40336-0115
Mailing address
PO Box 115
Irvine, KY 40336-0115
Phone (606) 723-5181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY1702 | KY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195776000000",
"number": "1013198753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 115",
"city": "IRVINE",
"state": "KY",
"postal_code": "403360115",
"telephone_number": "606-723-5181",
"fax_number": "606-723-5254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 RIVER DRIVE",
"city": "IRVINE",
"state": "KY",
"postal_code": "403360115",
"telephone_number": "606-723-5181",
"fax_number": "606-723-5254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLEDSOE",
"first_name": "KRISTY",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "RD LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-23",
"last_updated": "2007-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KY",
"license": "KY1702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.