Active NPI
Rose Lynn Kingston, CN
- Nutritionist
- Louisa, KY
National Provider Identifier
1649646639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 0832
- Practice address
- 2485 Highway 644
Louisa, KY 41230-9242 - Phone
- (606) 638-7380
- Fax
- (606) 638-4855
- NPI assigned
- Aug 13, 2015
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 0832 | KY | Primary |
Addresses
Primary practice location
2485 Highway 644
Louisa, KY 41230-9242
Mailing address
1054 Rose LN
Louisa, KY 41230-9661
Phone (606) 638-7380
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0832 | KY | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439424000000",
"number": "1649646639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1054 ROSE LN",
"city": "LOUISA",
"state": "KY",
"postal_code": "412309661",
"telephone_number": "606-638-7380",
"fax_number": "606-638-9494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2485 HIGHWAY 644",
"city": "LOUISA",
"state": "KY",
"postal_code": "412309242",
"telephone_number": "606-638-7380",
"fax_number": "606-638-4855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINGSTON",
"first_name": "ROSE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "CN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-13",
"last_updated": "2015-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "KY",
"license": "0832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisa, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.