Individual provider Active NPI

Regina Winburn, RDN, CSG, LD

  • Registered Dietitian
  • Louisville, KY
National Provider Identifier
1396151635
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
KY-1847 Issued in KY
Practice address
1800 Bluegrass Ave
Louisville, KY 40215-1130
Phone
(502) 361-2301
NPI assigned
Jul 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 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 KY-1847 KY Primary

Addresses

Primary practice location

1800 Bluegrass Ave
Louisville, KY 40215-1130

Mailing address

1800 Bluegrass Ave
Louisville, KY 40214
Phone (502) 361-2301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240403000657 KY Practitioner - Registered Dietitian Or Nutrition Professional 9931547411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth of KentuckyGroup PAC ID 0840180816, 28 clinicians

Practice addresses (Care Compare)

1800 Bluegrass Ave
Louisville, KY 40215-1130
Phone (502) 361-2301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
KY-1847KYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth of Kentucky CurrentSince Jan 13, 2024 Accepting new patients
Commonwealth of Kentucky CurrentSince Jan 13, 2024 Accepting new patients

Locations

1800 Bluegrass Ave
Louisville, KY 40215
Phone (502) 361-2301

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1396151635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BLUEGRASS AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40214",
            "telephone_number": "502-361-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BLUEGRASS AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402151130",
            "telephone_number": "502-361-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINBURN",
        "first_name": "REGINA",
        "credential": "RDN, CSG, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-08",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "KY-1847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.