Active NPI
Emily Frazier, RD, LD, CLC
- Registered Dietitian
- Louisville, KY
National Provider Identifier
1124524954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1074896
- Practice address
- 3015 Wilson Ave
Louisville, KY 40211-1969 - Phone
- (502) 774-4401
- NPI assigned
- Apr 2, 2018
- 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 | 1074896 | Primary |
Addresses
Primary practice location
3015 Wilson Ave
Louisville, KY 40211-1969
Mailing address
506 Oxford PL
Louisville, KY 40207-3745
Other names 1
- Emily Smith
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, 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": "1522627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522627200000",
"number": "1124524954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 OXFORD PL",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402073745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3015 WILSON AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402111969",
"telephone_number": "502-774-4401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZIER",
"first_name": "EMILY",
"credential": "RD, LD, CLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-02",
"last_updated": "2018-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "1074896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "SMITH",
"credential": "RD, LD, CLC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.