Active NPI
Kaitlin Harrison, RD
- Registered Dietitian
- Leitchfield, KY
National Provider Identifier
1114249554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 910 Wallace Ave
Leitchfield, KY 42754-2414 - Phone
- (270) 259-9400
- Fax
- (270) 259-9536
- NPI assigned
- Feb 26, 2010
- 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 | Primary |
Addresses
Primary practice location
910 Wallace Ave
Leitchfield, KY 42754-2414
Mailing address
910 Wallace Ave
Leitchfield, KY 42754-2414
Phone (270) 259-9400
Other names 1
- Kaitlin D Embry
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MNT, Inc. | Dietitian, Registered | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346371200000",
"number": "1114249554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 WALLACE AVE",
"city": "LEITCHFIELD",
"state": "KY",
"postal_code": "427542414",
"telephone_number": "270-259-9400",
"fax_number": "270-259-9536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 WALLACE AVE",
"city": "LEITCHFIELD",
"state": "KY",
"postal_code": "427542414",
"telephone_number": "270-259-9400",
"fax_number": "270-259-9536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "KAITLIN",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-26",
"last_updated": "2012-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAITLIN",
"last_name": "EMBRY",
"middle_name": "D",
"credential": "RD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Leitchfield, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.