NPIMap

Individual provider Active NPI

Sandra J West, RD

  • Registered Dietitian
  • Mayfield, KY
National Provider Identifier
1023072543
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
KY1215 Issued in KY
Practice address
416 Central Ave
Mayfield, KY 42066-3115
Phone
(270) 247-3553
Fax
(270) 247-0391
NPI assigned
Apr 13, 2006
Last updated
Oct 9, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X KY1215 KY Primary

Addresses

Primary practice location

416 Central Ave
Mayfield, KY 42066-3115

Mailing address

416 Central Ave
Mayfield, KY 42066-3115
Phone (270) 247-3553

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

LicenseStateTypeSpecialty
KY1215KYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Purchase District Health Dept Past Accepting new patients
Purchase District Health Dept Past Accepting new patients
Purchase District Health Department Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412812800000",
    "number": "1023072543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 CENTRAL AVE",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420663115",
            "telephone_number": "270-247-3553",
            "fax_number": "270-247-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 CENTRAL AVE",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420663115",
            "telephone_number": "270-247-3553",
            "fax_number": "270-247-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "SANDRA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2014-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "KY1215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.