Emma Madison Aguayo, RDN

Individual provider Active NPI Registered Dietitian · Louisville, KY

NPI 1427782812 · NPPES record last updated Jul 12, 2022

Key facts

NPI
1427782812
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
86152537
Practice address
11824 Ransum Dr
Louisville, KY 40243-2802
Phone
(502) 205-1114
NPI assigned
Jul 12, 2022
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86152537 Yes

Addresses

Primary practice location

11824 Ransum Dr
Louisville, KY 40243-2802

Mailing address

14717 Oxford Hill CT
Louisville, KY 40245-5737
Phone (502) 552-3703

Other providers in Louisville, KY

All providers in Louisville, KY · Registered Dietitian in Kentucky

Sources for this page

Verify at the official NPI Registry.