Breanna Holt-Betancourt
Individual provider Active NPI Registered Dietitian · Worthington, KY
NPI 1417818980 · NPPES record last updated Nov 24, 2025
Key facts
- NPI
- 1417818980
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 303028 (KY)
- Practice address
- 832 Cheryl Ann CT
Worthington, KY 41183-9529 - Phone
- (720) 513-4446
- NPI assigned
- Nov 24, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 303028 | KY | MD | Registered Dietitian |
| 1926 | WV | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1926 | WV | |
| Registered Dietitian | 133V00000X | 303028 | KY | Yes |
Addresses
Primary practice location
832 Cheryl Ann CT
Worthington, KY 41183-9529
Mailing address
832 Cheryl Ann CT
Worthington, KY 41183-9529
Other names
- Breanna Holt Betancourt
Other providers in Worthington, KY
- Terran Aquila Evans
- Megan Lee Flocker
- Greenup County Health Department
- Teresa Lynn Mathis
- Robin McBrayer
All providers in Worthington, KY · Registered Dietitian in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.