Active NPI
Carrie Frances Kopp, R.D., L.D.
- Registered Dietitian
- Versailles, KY
National Provider Identifier
1255595252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- KY-1913
- Practice address
- 360 Amsden Ave
Versailles, KY 40383-1851 - Phone
- (859) 879-2324
- Fax
- (859) 873-1016
- NPI assigned
- Jul 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | KY-1913 | KY | Primary |
Addresses
Primary practice location
360 Amsden Ave
Versailles, KY 40383-1851
Mailing address
360 Amsden Ave
Versailles, KY 40383-1851
Phone (859) 879-2324
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY-1913 | KY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216339200000",
"number": "1255595252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 AMSDEN AVE",
"city": "VERSAILLES",
"state": "KY",
"postal_code": "403831851",
"telephone_number": "859-879-2324",
"fax_number": "859-873-1016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 AMSDEN AVE",
"city": "VERSAILLES",
"state": "KY",
"postal_code": "403831851",
"telephone_number": "859-879-2324",
"fax_number": "859-873-1016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOPP",
"first_name": "CARRIE",
"middle_name": "FRANCES",
"name_prefix": "Mrs.",
"credential": "R.D., L.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-18",
"last_updated": "2008-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KY",
"license": "KY-1913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Versailles, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.