Lisa Michelle Supplee-Pulliam, R.D., L.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

KY-1792 Issued in KY

Practice address

299 Kings Daughters Dr
FRMC
Frankfort, KY 40601-6514

Phone

(502) 226-7839

Fax

(502) 226-7936

NPI assigned

Jun 14, 2010

Last updated

Jun 14, 2010By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1164743126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 KINGS DAUGHTERS DR",
            "address_2": "FRMC",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406016514",
            "telephone_number": "502-226-7839",
            "fax_number": "502-226-7936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 KINGS DAUGHTERS DR",
            "address_2": "FRMC",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406016514",
            "telephone_number": "502-226-7839",
            "fax_number": "502-226-7936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPPLEE-PULLIAM",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "R.D., L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-14",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "KY-1792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.