BKK Nutrition Consulting

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

KY0025 Issued in KY

Legal business name

BKK NUTRITION CONSULTING

Practice address

125 Chenoweth LN
Suite 207
Louisville, KY 40207-2641

Phone

(502) 891-0360

Fax

(502) 891-0360

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Beverly Kay Kastan, R.D., M.S., C.D.E.

Title

Registered Dietitian/Owner

Phone

(502) 891-0360

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Food and Nutrition Professionals, Inc. Former legal business name

Locations

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1508918160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 CHENOWETH LN",
            "address_2": "SUITE 207",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072641",
            "telephone_number": "502-891-0360",
            "fax_number": "502-891-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CHENOWETH LN",
            "address_2": "SUITE 207",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072641",
            "telephone_number": "502-891-0360",
            "fax_number": "502-891-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BKK NUTRITION CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "KASTAN",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN/OWNER",
        "authorized_official_telephone_number": "502-891-0360",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.D., M.S., C.D.E."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "KY0025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "176894",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "10654330662",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH",
            "identifier": "6300003",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Food and Nutrition Professionals, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Allison Keskey Black, MD
• Amanda Kay Black, COTA/L

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.