Ivy Lee Sheehan, RD, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

123169 Issued in KY

Practice address

2195 Harrodsburg Rd Ste 125
Lexington, KY 40504-3543

Phone

(859) 323-2232

Fax

(859) 257-1078

NPI assigned

Jul 2, 2007

Last updated

Oct 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Ivy Bush Former name

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Summit Medical Group, Inc

  dba St. Elizabeth Physicians

  • Family Medicine Physician
  • Erlanger, KY
  • NPI 1750343216

  Dietitian, Registered

  Medicare reassignment NPD
• University of Kentucky

  • Diagnostic Radiology Physician
  • Lexington, KY
  • NPI 1770771974
  Medicare reassignment NPD
• Summit Medical Group, Inc.

  dba St. Elizabeth Physicians

  • Foot & Ankle Surgery Podiatrist
  • Crestview Hills, KY
  • NPI 1043188378
  NPD
• University of Kentucky

  dba Barnstable Brown Kentucky Diabetes Education Program

  • Diabetes Educator Registered Nurse
  • Lexington, KY
  • NPI 1215449178

  Dietitian, Registered

  NPD
• Cincinnati Health Care Group PSC

  • Ambulatory Surgical Clinic/Center
  • Crestview Hills, KY
  • NPI 1881616357
  NPD (past)

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1083811194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 863407",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328863407",
            "telephone_number": "941-917-3270",
            "fax_number": "941-917-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 HARRODSBURG RD STE 125",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043543",
            "telephone_number": "859-323-2232",
            "fax_number": "859-257-1078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1921 Waldemere St Ste 512",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342392941",
            "country_code": "US",
            "telephone_number": "941-917-3270",
            "fax_number": "941-917-3275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEEHAN",
        "first_name": "IVY",
        "middle_name": "LEE",
        "credential": "RD,  CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND9738",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "123169",
            "primary": true
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "KY",
            "license": "294093",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IVY",
            "last_name": "BUSH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William Shea
• Gloria S. Shearer, L.M.T.
• Mary E Shearer, MD
• Heather M. Shearin, CRNA
• Steven I Shedlofsky, MD
• Krista Marie Sheehan, APRN
• Patrick Adams Sheehan
• David L Sheeks, OTR
• Shelby Stein Sheeran, DMD
• Peter B. Sheesley, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.