Jessica Combs Caudill, MS, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

121391 Issued in KY

Practice address

1548 Flemishbond Path
Lexington, KY 40509-8706

Phone

(859) 595-3638

NPI assigned

Jul 9, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1134535255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1548 FLEMISHBOND PATH",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405098706",
            "telephone_number": "859-595-3638",
            "fax_number": "859-595-3638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1548 FLEMISHBOND PATH",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405098706",
            "telephone_number": "859-595-3638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUDILL",
        "first_name": "JESSICA",
        "middle_name": "COMBS",
        "credential": "MS, RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-09",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND7422",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "121391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY DIETITIANS AND NUTRITIONISTS LICENSE",
            "identifier": "2551",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reily Catto, DO
• Tracey Maureen Caudell, LCSW
• Whitney Caudell
• Austin Chase Caudill
• Jeffrey R. Caudill, PT
• John L Caudill, M.D.
• Joseph Medford Caudill, L.C.S.W.
• Michael Nelson Caudill Jr., P.T., D.P.T.
• Michelle M. Caudill
• Stephanie Layne Caudill, MSPT

• Registered Dietitian in Lexington, KY
• Providers in Lexington, KY by specialty
• Registered Dietitian in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.