Individual provider Active NPI

Mary Gwendolyn Pyle, RD, CD, LD

  • Registered Dietitian
  • Louisville, KY
National Provider Identifier
1073887139
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
KY0316 Issued in KY
Practice address
3010 Taylor Springs Dr
Louisville, KY 40220-1587
Phone
(502) 458-4588
Fax
(502) 458-4240
NPI assigned
Mar 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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 KY0316 KY Primary

Addresses

Primary practice location

3010 Taylor Springs Dr
Louisville, KY 40220-1587

Mailing address

3010 Taylor Springs Dr
Louisville, KY 40220-1587
Phone (502) 458-4588

Other names 1

  • Mary Gwendolyn Pyle Professional name

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
KY0316KYMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1073887139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 TAYLOR SPRINGS DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201587",
            "telephone_number": "502-458-4588",
            "fax_number": "502-458-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 TAYLOR SPRINGS DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201587",
            "telephone_number": "502-458-4588",
            "fax_number": "502-458-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYLE",
        "first_name": "MARY",
        "middle_name": "GWENDOLYN",
        "credential": "RD, CD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "KY0316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "PYLE",
            "middle_name": "GWENDOLYN",
            "credential": "RD, LD, CD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.