Active NPI
Corey Joseph Hawes, DCN, RD, CSO, CNSC
- Registered Dietitian
- Lexington, KY
National Provider Identifier
1518393487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2567
- Practice address
- 403 Marquis Ave
Lexington, KY 40502-2129 - Phone
- (502) 797-1190
- NPI assigned
- Sep 23, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2567 | KY | Primary |
Addresses
Primary practice location
403 Marquis Ave
Lexington, KY 40502-2129
Mailing address
5294 Troy Pike
Versailles, KY 40383-8906
Phone (502) 797-1190
Other practice location 1
800 Rose St
Lexington, KY 40536-7001
Phone (859) 323-7230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 831218279 | Other | KY | KY TAX ID |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2567 | KY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661472000000",
"number": "1518393487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5294 TROY PIKE",
"city": "VERSAILLES",
"state": "KY",
"postal_code": "403838906",
"telephone_number": "502-797-1190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 MARQUIS AVE",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405022129",
"telephone_number": "502-797-1190"
}
],
"practiceLocations": [
{
"address_1": "800 Rose St",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405367001",
"country_code": "US",
"telephone_number": "859-323-7230",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAWES",
"first_name": "COREY",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DCN, RD, CSO, CNSC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-23",
"last_updated": "2022-08-26",
"certification_date": "2022-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KY",
"license": "2567",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY TAX ID",
"identifier": "831218279",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.