Mechelle Rena Coble, MS RD LD CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

0934 Issued in KY

Practice address

108 New Glendale Rd
Elizabethtown, KY 42702-2609

Phone

(270) 769-1601

Fax

(270) 765-7274

NPI assigned

Mar 5, 2007

Last updated

Mar 11, 2013By 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)

Enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lincoln Trail District Health Department

  dba Marion County Health Center

  • Public Health or Welfare Agency
  • Lebanon, KY
  • NPI 1255313862
  NPD (past)
• Lincoln Trail District Health Department

  dba Meade County Health Center

  • Public Health or Welfare Agency
  • Brandenburg, KY
  • NPI 1710969316
  NPD (past)
• Lincoln Trail District Health Department

  dba Nelson County Health Center

  • Public Health or Welfare Agency
  • Bardstown, KY
  • NPI 1710969332
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362960000000",
    "number": "1295864114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2609",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427022609",
            "telephone_number": "270-769-1601",
            "fax_number": "270-765-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 NEW GLENDALE RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427022609",
            "telephone_number": "270-769-1601",
            "fax_number": "270-765-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBLE",
        "first_name": "MECHELLE",
        "middle_name": "RENA",
        "name_prefix": "Mrs.",
        "credential": "MS RD LD CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2013-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "0934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKenzie Jo Clemons, M.S., CF-SLP
• Walt Morgan Clive
• Katherine E Clouse
• Emily Laine Coates
• Alicia Cobb, OTD
• Jessica Coburn, LPCC, NCC
• Todd T. Cochran, DMD, FAGD
• Erica Cockerel, PHARMD
• Darin P Coen, PA-C
• Selina Spencer Coffey

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.