Active NPI
Kristie L Ashworth, RD,CDE
- Registered Dietitian
- Monroe, MI
National Provider Identifier
1407980576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 721137
- Practice address
- 700 Stewart Rd
Suite 105
Monroe, MI 48162-5304 - Phone
- (734) 240-1813
- Fax
- (734) 240-1892
- NPI assigned
- Mar 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 721137 | MI | Primary |
Addresses
Primary practice location
700 Stewart Rd
Suite 105
Monroe, MI 48162-5304
Mailing address
718 N Macomb St
Monroe, MI 48162-7815
Phone (734) 240-1813
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 721137 | MI | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353888000000",
"number": "1407980576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 N MACOMB ST",
"city": "MONROE",
"state": "MI",
"postal_code": "481627815",
"telephone_number": "734-240-1813",
"fax_number": "734-240-1892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 STEWART RD",
"address_2": "SUITE 105",
"city": "MONROE",
"state": "MI",
"postal_code": "481625304",
"telephone_number": "734-240-1813",
"fax_number": "734-240-1892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASHWORTH",
"first_name": "KRISTIE",
"middle_name": "L",
"credential": "RD,CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2012-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MI",
"license": "721137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.