Individual provider Active NPI

Kylee Schuler Van Horn, RDN

  • Registered Dietitian
  • Carbondale, CO
National Provider Identifier
1477034692
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86026478 Issued in CO
Practice address
380 Oak Run Rd
Carbondale, CO 81623-2811
Phone
(717) 816-3592
NPI assigned
Aug 25, 2018
Last updated
Dec 4, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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 86026478 CO Primary

Addresses

Primary practice location

380 Oak Run Rd
Carbondale, CO 81623-2811

Mailing address

380 Oak Run Rd
Carbondale, CO 81623-2811
Phone (717) 816-3592

Other practice location 1

1460 E Valley Rd
Basalt, CO 81621-8411
Phone (717) 816-3592

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
86026478COMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1535155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1477034692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 OAK RUN RD",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816232811",
            "telephone_number": "717-816-3592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 OAK RUN RD",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816232811",
            "telephone_number": "717-816-3592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1460 E Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Basalt",
            "state": "CO",
            "postal_code": "816218411",
            "country_code": "US",
            "telephone_number": "717-816-3592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN HORN",
        "first_name": "KYLEE",
        "middle_name": "SCHULER",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-25",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CO",
            "license": "86026478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbondale, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.