Active NPI
Matti Ann Coffey, MDA, RD, LD
- Registered Dietitian
- London, KY
National Provider Identifier
1114878667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 122204
- Practice address
- 941 Victory Greenmont Rd
London, KY 40741-8727 - Phone
- (606) 499-1803
- NPI assigned
- Feb 9, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | 122204 | KY | Primary |
Addresses
Primary practice location
941 Victory Greenmont Rd
London, KY 40741-8727
Mailing address
941 Victory Greenmont Rd
London, KY 40741-8727
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)
- Not enrolled
- Credentials
- Medical Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122204 | KY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770595200000",
"number": "1114878667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "941 VICTORY GREENMONT RD",
"city": "LONDON",
"state": "KY",
"postal_code": "407418727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "941 VICTORY GREENMONT RD",
"city": "LONDON",
"state": "KY",
"postal_code": "407418727",
"telephone_number": "606-499-1803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COFFEY",
"first_name": "MATTI",
"middle_name": "ANN",
"credential": "MDA, RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-02-09",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "KY",
"license": "122204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in London, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.