Active NPI
Merritt Bates Thomas, REGISTERED DIETITIAN
- Registered Dietitian
- Owensboro, KY
National Provider Identifier
1194797274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- KY0189
- Practice address
- 1501 Breckenridge St
Owensboro, KY 42303-1054 - Phone
- (270) 686-7747
- Fax
- (270) 926-9862
- NPI assigned
- Feb 3, 2006
- 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 | KY0189 | KY | Primary |
Addresses
Primary practice location
1501 Breckenridge St
Owensboro, KY 42303-1054
Mailing address
PO Box 309
Owensboro, KY 42302-0309
Phone (270) 686-7747
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0189 | KY | MD | Counselor |
| KY0189 | KY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195430400000",
"number": "1194797274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 309",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423020309",
"telephone_number": "270-686-7747",
"fax_number": "270-926-9862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 BRECKENRIDGE ST",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423031054",
"telephone_number": "270-686-7747",
"fax_number": "270-926-9862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "MERRITT",
"middle_name": "BATES",
"credential": "REGISTERED DIETITIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-03",
"last_updated": "2007-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KY",
"license": "KY0189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.