Individual provider Active NPI

Kayla Stanton, MS, RDN

  • Registered Dietitian
  • Evansville, IN
National Provider Identifier
1376182626
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86016141 Issued in IN
Practice address
1041 N Royal Ave Ste a
Evansville, IN 47715-7848
Phone
(812) 491-0194
NPI assigned
Jan 3, 2020
Last updated
Apr 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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 86016141 IN Primary

Addresses

Primary practice location

1041 N Royal Ave Ste a
Evansville, IN 47715-7848

Mailing address

1041 N Royal Ave Ste a
Evansville, IN 47715-7848
Phone (812) 491-0194

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
86016141INMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Stanton Nutrition Counseling Dietitian, Registered CurrentSince May 1, 2020 Accepting new patients

Locations

1041 N Royal Ave
#A
Evansville, IN 47715
Phone (812) 491-0194

4918 Temple Ave
Ste D
Evansville, IN 47715

4918 Temple Ave
Ste G
Evansville, IN 47715
Phone (317) 385-9454

Organizations & group practices 1

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": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1376182626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 N ROYAL AVE STE A",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477157848",
            "telephone_number": "812-491-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 N ROYAL AVE STE A",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477157848",
            "telephone_number": "812-491-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANTON",
        "first_name": "KAYLA",
        "credential": "MS, RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "86016141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.