Individual provider Active NPI

Mallory Hornsby, R.D.

  • Registered Dietitian
  • Carrollton, KY
National Provider Identifier
1356762108
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86021591 Issued in KY
Practice address
309 Eleventh St
Carrollton, KY 41008-1587
Phone
(502) 732-4321
NPI assigned
Dec 20, 2013
Last updated
Dec 20, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86021591 KY Primary

Addresses

Primary practice location

309 Eleventh St
Carrollton, KY 41008-1587

Mailing address

3010 Taylor Springs Dr
Louisville, KY 40220-1587

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241030004351 KY Practitioner - Registered Dietitian Or Nutrition Professional 1153663778 Reassigns benefits to 1 organization
I20241121003566 OH Practitioner - Registered Dietitian Or Nutrition Professional 1153663778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Christ Hospital Medical Associates, LLCGroup PAC ID 0244314102, 270 clinicians

Practice addresses (Care Compare)

4440 Red Bank Rd
Cincinnati, OH 45227-2177
Phone (513) 272-0313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86021591KYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
The Christ Hospital Medical Associates, LLC CurrentSince Aug 5, 2024 Accepting new patients
Hyde Park Medical Associates, Inc. Past Accepting new patients

Locations

1955 Dixie Hwy
Ft Wright, KY 41011
Phone (513) 721-7373

2123 Auburn Ave
#104
Cincinnati, OH 45219
Phone (513) 241-7744

2123 Auburn Ave
#200
Cincinnati, OH 45219
Phone (513) 321-0833

2139 Auburn Ave
#49
Cincinnati, OH 45219

4440 Red Bank Rd
Ste 210
Cincinnati, OH 45227
Phone (513) 564-3952

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1356762108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 TAYLOR SPRINGS DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 ELEVENTH ST",
            "city": "CARROLLTON",
            "state": "KY",
            "postal_code": "410081587",
            "telephone_number": "502-732-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNSBY",
        "first_name": "MALLORY",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-20",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "86021591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.