Active NPI
David Travis Thomas, PHD, RDN, CSSD, FAND
- Sports Dietetics Nutrition Registered Dietitian
- Lexington, KY
National Provider Identifier
1659993830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Dietetics Nutrition Registered Dietitian
- License
- 123101
- Practice address
- 836 Tiffanie CT
Lexington, KY 40514-4082 - Phone
- (859) 218-0863
- NPI assigned
- May 11, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Sports Dietetics Nutrition Registered Dietitian | 133VN1501X | 123101 | KY | Primary |
Addresses
Primary practice location
836 Tiffanie CT
Lexington, KY 40514-4082
Mailing address
900 South Limestone 209H CTW Building
Lexington, KY 40536-0001
Phone (859) 218-0863
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123101 | KY | MD | Sports Dietetics Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589155200000",
"number": "1659993830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 SOUTH LIMESTONE 209H CTW BUILDING",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405360001",
"telephone_number": "859-218-0863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 TIFFANIE CT",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405144082",
"telephone_number": "859-218-0863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "DAVID",
"middle_name": "TRAVIS",
"name_prefix": "Dr.",
"credential": "PHD, RDN, CSSD, FAND",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-11",
"last_updated": "2020-05-11",
"certification_date": "2020-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1501X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
"state": "KY",
"license": "123101",
"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 May 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.