Mary Ratliff, RD, LD
Individual provider Active NPI Registered Dietitian · Hardinsburg, KY
NPI 1114336609 · NPPES record last updated Aug 8, 2014
Key facts
- NPI
- 1114336609
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- KY-0212 (KY)
- Practice address
- 1011 Old Highway 60
Hardinsburg, KY 40143-2519 - Phone
- (270) 756-6633
- Fax
- (270) 756-5045
- NPI assigned
- Aug 8, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140905001976 | KY | Practitioner - Registered Dietitian Or Nutrition Professional | 7911125869 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0212 | KY | MD | Mental Health Counselor |
| KY-0212 | KY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breckinridge Health Inc | Current |
Accepting new patients |
Locations
1011 Old Highway 60
Hardinsburg, KY 40143
Phone (270) 756-7000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | KY-0212 | KY | Yes |
Addresses
Primary practice location
1011 Old Highway 60
Hardinsburg, KY 40143-2519
Mailing address
1011 Old Highway 60
Hardinsburg, KY 40143-2519
Phone (270) 756-6633
NPI Registry JSON
{
"created_epoch": "1407456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407456000000",
"number": "1114336609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 OLD HIGHWAY 60",
"city": "HARDINSBURG",
"state": "KY",
"postal_code": "401432519",
"telephone_number": "270-756-6633",
"fax_number": "270-756-5045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 OLD HIGHWAY 60",
"city": "HARDINSBURG",
"state": "KY",
"postal_code": "401432519",
"telephone_number": "270-756-6633",
"fax_number": "270-756-5045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATLIFF",
"first_name": "MARY",
"credential": "RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-08",
"last_updated": "2014-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KY",
"license": "KY-0212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hardinsburg, KY
- Chandra Payne
- Kylie Rae Payne
- Pillar Health PLLC
- Aaron Corey Powers
- Emma Grace Puckett
- Rebecca Driskell-McCoy
- Ana Reed
- Robert B Chambliss MD PLLC
- John Eric Roe Jr.
- Kent Ruskowski
All providers in Hardinsburg, KY · Registered Dietitian in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.