Individual provider Active NPI

Kristin L Kren, R.D., L.D.

  • Registered Dietitian
  • Louisville, KY
National Provider Identifier
1588118772
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
279064 Issued in KY
Practice address
201 Ridgeway Ave
Louisville, KY 40207-5017
Phone
(228) 304-0312
NPI assigned
Aug 5, 2016
Last updated
Apr 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 723 OK
Registered Dietitian 133V00000X 1996 AR
Registered Dietitian 133V00000X 279064 KY Primary

Addresses

Primary practice location

201 Ridgeway Ave
Louisville, KY 40207-5017

Mailing address

201 Ridgeway Ave
Louisville, KY 40207-5017
Phone (283) 040-3122

Other practice location 1

909 26th Ave NW
Norman, OK 73069
Phone (405) 801-2323 ext. 116

Other practice location 2

111 SE 22nd St
Bentonville, AR 72712-7188
Phone (479) 268-3280

Other practice location 3

1949 Goldsmith Ln Ste 103
Louisville, KY 40218-3096
Phone (228) 304-0312

Other names 1

  • Kristin L Kergosien Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 15, 2023 through Dec 15, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1996ARMDRegistered Dietitian
279064KYMDRegistered Dietitian
723OKMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Attuned Nutrition LLC Dietitian, Registered CurrentSince Apr 9, 2023 Accepting new patients

Locations

1949 Goldsmith Ln
Ste 103
Louisville, KY 40218
Phone (502) 221-7892

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1588118772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 RIDGEWAY AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402075017",
            "telephone_number": "283-040-3122",
            "fax_number": "502-785-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 RIDGEWAY AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402075017",
            "telephone_number": "228-304-0312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "909 26th Ave NW",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "73069",
            "country_code": "US",
            "telephone_number": "405-801-2323 x116",
            "fax_number": "405-801-2366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 SE 22nd St",
            "address_purpose": "LOCATION",
            "city": "Bentonville",
            "state": "AR",
            "postal_code": "727127188",
            "country_code": "US",
            "telephone_number": "479-268-3280",
            "fax_number": "479-268-3305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1949 Goldsmith Ln Ste 103",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402183096",
            "country_code": "US",
            "telephone_number": "228-304-0312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KREN",
        "first_name": "KRISTIN",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "R.D., L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-05",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "723",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AR",
            "license": "1996",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "279064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "KERGOSIEN",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.