Southern Kentucky Nutrition Professionals

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

SOUTHERN KENTUCKY NUTRITION PROFESSIONALS

Practice address

26 Farley LN
Alvaton, KY 42122-8616

Phone

(270) 780-0118

Fax

(270) 780-0118

NPI assigned

Sep 15, 2017

Last updated

Sep 15, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ann Embry, RD, LDNPI 1811426604

Title

Co-Owner

Phone

(270) 780-0118

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ann Embry, RD, LD

  • Registered Dietitian
  • Alvaton, KY
  • NPI 1811426604

  Dietitian, Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505433600000",
    "number": "1508385097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 FARLEY LN",
            "city": "ALVATON",
            "state": "KY",
            "postal_code": "421228616",
            "telephone_number": "270-780-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 FARLEY LN",
            "city": "ALVATON",
            "state": "KY",
            "postal_code": "421228616",
            "telephone_number": "270-780-0118",
            "fax_number": "270-780-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN KENTUCKY NUTRITION PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-15",
        "last_updated": "2017-09-15",
        "status": "A",
        "authorized_official_last_name": "EMBRY",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "270-780-0118",
        "authorized_official_credential": "RD, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Owens, LPCC
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• Amanda L Tittle, LPCC
• Tatiana Tomovic, LCSW
• Dwight M. Trabue, LMFT
• Jan Marie Trabue
• Melissa Walters, LCSW

• Registered Dietitian in Alvaton, KY
• Providers in Alvaton, KY by specialty
• Registered Dietitian in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2017; 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.