Active NPI
Laura Ashley Dennis, RD
- Registered Dietitian
- Irvine, KY
National Provider Identifier
1639406200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1039030
- Practice address
- 60 Mercy CT
Irvine, KY 40336-1331 - Phone
- (606) 723-2115
- NPI assigned
- Nov 3, 2009
- Last updated
- Nov 3, 2009
- Sex
- Female
- 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 | 1039030 | KY | Primary |
Addresses
Primary practice location
60 Mercy CT
Irvine, KY 40336-1331
Mailing address
60 Mercy CT
Irvine, KY 40336-1331
Phone (606) 723-2115
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1039030 | Other | KY | KY STATE LIC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1039030 | KY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257206400000",
"number": "1639406200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 MERCY CT",
"city": "IRVINE",
"state": "KY",
"postal_code": "403361331",
"telephone_number": "606-723-2115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 MERCY CT",
"city": "IRVINE",
"state": "KY",
"postal_code": "403361331",
"telephone_number": "606-723-2115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIS",
"first_name": "LAURA",
"middle_name": "ASHLEY",
"name_prefix": "Ms.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-03",
"last_updated": "2009-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KY",
"license": "1039030",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY STATE LIC",
"identifier": "1039030",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Irvine, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.