Active NPI
Kristin L Kren, R.D., L.D.
- Registered Dietitian
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 279064
- Practice address
- 201 Ridgeway Ave
Louisville, KY 40207-5017 - Phone
- (228) 304-0312
- NPI assigned
- Aug 5, 2016
- Last updated
- Apr 5, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1996 | AR | MD | Registered Dietitian |
| 279064 | KY | MD | Registered Dietitian |
| 723 | OK | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Attuned Nutrition LLC | Dietitian, Registered | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.