Individual provider Active NPI

Angela R Hepner, RD, CDE

  • Registered Dietitian
  • Lexington, KY
National Provider Identifier
1609995315
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
122859 Issued in KY
Practice address
2195 Harrodsburg Rd Ste 125
Lexington, KY 40504-3504
Phone
(859) 323-2232
Fax
(859) 257-0659
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1924 KY
Registered Dietitian 133V00000X 122859 KY Primary

Addresses

Primary practice location

2195 Harrodsburg Rd Ste 125
Lexington, KY 40504-3504

Mailing address

740 S Limestone
RM J449
Lexington, KY 40536-0284
Phone (859) 323-5404

Other practice location 1

740 S Limestone
Rm J449
Lexington, KY 40536-0284
Phone (859) 323-5404 ext. 241

Other names 1

  • Angela R Hepner Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1924KYMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1609995315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 S LIMESTONE",
            "address_2": "RM J449",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360284",
            "telephone_number": "859-323-5404",
            "fax_number": "859-323-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 HARRODSBURG RD STE 125",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043504",
            "telephone_number": "859-323-2232",
            "fax_number": "859-257-0659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "740 S Limestone",
            "address_2": "Rm J449",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405360284",
            "country_code": "US",
            "telephone_number": "859-323-5404 x241",
            "fax_number": "859-323-8179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEPNER",
        "first_name": "ANGELA",
        "middle_name": "R",
        "credential": "RD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "1924",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "122859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "HEPNER",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Mar 17, 2018; 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.