Mikyla Peres, MS, RDN, LD, CN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

2355 Poplar Level Rd Ste 301
Louisville, KY 40217-1388

Phone

(502) 636-0406

NPI assigned

Aug 7, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Interoperability endpoints

• Direct secure messaging: mperes62670@direct.nortonhealthcare.org

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.

• Community Medical Associates, Inc.

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1588614994
  NPD (past)

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1134774102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-836-6285",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 POPLAR LEVEL RD STE 301",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171388",
            "telephone_number": "502-636-0406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Mallard Creek Rd Ste 320",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402075136",
            "country_code": "US",
            "telephone_number": "502-855-6125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6411 Veterans Memorial Pkwy",
            "address_purpose": "LOCATION",
            "city": "Crestwood",
            "state": "KY",
            "postal_code": "400148698",
            "country_code": "US",
            "telephone_number": "502-241-8611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9880 Angies Way Ste 420",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402412850",
            "country_code": "US",
            "telephone_number": "502-636-0406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 High Point Ct",
            "address_purpose": "LOCATION",
            "city": "MT Washington",
            "state": "KY",
            "postal_code": "400476560",
            "country_code": "US",
            "telephone_number": "502-955-6129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4001 Dutchmans Ln",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074714",
            "country_code": "US",
            "telephone_number": "503-893-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERES",
        "first_name": "MIKYLA",
        "credential": "MS, RDN, LD, CN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/",
            "affiliation": "N",
            "address_1": "2355 Poplar Level Rd Ste 301",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402171388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mperes62670@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "2355 Poplar Level Rd Ste 301",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402171388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Victoria Pereira
• David H Perellis, DMD
• Ethan Harrison Perellis, DMD
• Perelmuter & Goldberg Orthodontics
• Mark J Perelmuter, D.M.D., M. S.
• Romina Perez Garces, PHARMD
• Diley Perez Garcia, MD
• Claudia Elizabeth Perez Martinez, M.D.
• Carlos M Perez Ruiz, M.D.
• Nelly Mercedes Perez-Ricardo, A.P.R.N.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.