Nutrition Therapy Specialist, LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

NUTRITION THERAPY SPECIALIST, LLC

Practice address

135 Grandview Way
Shepherdsville, KY 40165-9154

Phone

(502) 494-8149

Fax

(502) 531-0049

NPI assigned

Mar 22, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Traci R McAdams, R.D.N.NPI 1982817557

Title

Dietitian

Phone

(502) 494-8149

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Traci Renee McAdams, M.S, R.D., L.D.

  • Registered Dietitian
  • Shepherdsville, KY
  • NPI 1982817557
  NPD (past) Authorized official

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1265894026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 GRANDVIEW WAY",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401659154",
            "telephone_number": "502-494-8149",
            "fax_number": "502-531-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 GRANDVIEW WAY",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401659154",
            "telephone_number": "502-494-8149",
            "fax_number": "502-531-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION THERAPY SPECIALIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "MCADAMS",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "502-494-8149",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.D.N."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Shepherdsville, KY by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.