Individual provider Active NPI

Beth Ballard, MS,RD,LD

  • Renal Nutrition Registered Dietitian
  • Danville, KY
National Provider Identifier
1083873087
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Renal Nutrition Registered DietitianTaxonomy code 133VN1005X
License
0622 Issued in KY
Practice address
150 War Admiral Ste 4
Danville, KY 40422-8690
Phone
(859) 236-6300
Fax
(859) 236-6308
NPI assigned
Jun 4, 2008
Last updated
Dec 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Renal Nutrition Registered Dietitian 133VN1005X 0622 KY Primary

Addresses

Primary practice location

150 War Admiral Ste 4
Danville, KY 40422-8690

Mailing address

3077 N Saint Francis Rd
Loretto, KY 40037-8164
Phone (270) 692-8323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260114003360 KY Practitioner - Registered Dietitian Or Nutrition Professional 4789750811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3075 N Saint Francis Rd
Loretto, KY 40037-8164

3077 N Saint Francis Rd
Loretto, KY 40037-8164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0622KYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrition 2 You CurrentSince Sep 29, 2025 Accepting new patients

Locations

150 War Admiral
Ste 4
Danville, KY 40422
Phone (859) 235-6300

Organizations & group practices 1

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": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1083873087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3077 N SAINT FRANCIS RD",
            "city": "LORETTO",
            "state": "KY",
            "postal_code": "400378164",
            "telephone_number": "270-692-8323",
            "fax_number": "502-388-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 WAR ADMIRAL STE 4",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404228690",
            "telephone_number": "859-236-6300",
            "fax_number": "859-236-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "BETH",
        "credential": "MS,RD,LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-04",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "KY",
            "license": "0622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.