Active NPI
Creationz by Phoenix LLC
- Nutritionist
- Lexington, KY
National Provider Identifier
1346161270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- Legal business name
- CREATIONZ BY PHOENIX LLC
- Practice address
- 2366 Allen Dr Ste B
Lexington, KY 40505-1956 - Phone
- (859) 519-9336
- NPI assigned
- Jul 24, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sha'Nae Latisha Hammond, CNA
- Title
- Owner
- Phone
- (859) 519-9336
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | Primary |
Addresses
Primary practice location
2366 Allen Dr Ste B
Lexington, KY 40505-1956
Mailing address
212 N 2ND St Ste 100
Richmond, KY 40475-1408
Phone (859) 519-9336
National Provider Directory
National Provider Directory- Tax ID family
- Creationz by Phoenix LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Meals Provider
- Lexington, KY
- NPI 1083538490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784851200000",
"number": "1346161270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 N 2ND ST STE 100",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404751408",
"telephone_number": "859-519-9336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2366 ALLEN DR STE B",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405051956",
"telephone_number": "859-519-9336"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CREATIONZ BY PHOENIX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-24",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A",
"authorized_official_last_name": "HAMMOND",
"authorized_official_first_name": "SHA'NAE",
"authorized_official_middle_name": "LATISHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "859-519-9336",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "CNA"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.