Individual provider Active NPI

Kristen Talley, RDN, LD

  • Registered Dietitian
  • Lexington, KY
National Provider Identifier
1649089434
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
123243 Issued in KY
Practice address
424 Lewis Hargett Cir
2ND Floor
Lexington, KY 40503-3688
Phone
(859) 285-6485
NPI assigned
Jan 6, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 123243 KY Primary

Addresses

Primary practice location

424 Lewis Hargett Cir
2ND Floor
Lexington, KY 40503-3688

Mailing address

3070 Lakecrest Cir Ste 400-117
Lexington, KY 40513-1937
Phone (859) 285-6485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260114002484 KY Practitioner - Registered Dietitian Or Nutrition Professional 4385120815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

424 Lewis Hargett Cir
FL 2
Lexington, KY 40503-3687

4828 Dresden Way
Lexington, KY 40514-2419

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1842KYMDSocial Worker
123243KYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Well-Nourished Nutrition LLC Dietitian, Registered CurrentSince Nov 11, 2025 Accepting new patients

Locations

3070 Lakecrest Cir
Ste 400117
Lexington, KY 40513

424 Lewis Hargett Cir
Fl 2
Lexington, KY 40503
Phone (859) 285-6485

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1649089434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 LAKECREST CIR STE 400-117",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131937",
            "telephone_number": "859-285-6485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 LEWIS HARGETT CIR",
            "address_2": "2ND FLOOR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033688",
            "telephone_number": "859-285-6485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLEY",
        "first_name": "KRISTEN",
        "credential": "RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "123243",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.