Ruth Ann Bartolo, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

122148 Issued in KY

Practice address

1903 Broadway St
Paducah, KY 42001-7105

Phone

(270) 444-8183

Fax

(270) 444-8147

NPI assigned

Jan 30, 2025

Last updated

Jan 30, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ruth Ann Goodman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1689487829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 BROADWAY ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017105",
            "telephone_number": "270-444-8183",
            "fax_number": "270-444-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 BROADWAY ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017105",
            "telephone_number": "270-444-8183",
            "fax_number": "270-444-8147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Canton St",
            "address_purpose": "LOCATION",
            "city": "Hopkinsville",
            "state": "KY",
            "postal_code": "422401923",
            "country_code": "US",
            "telephone_number": "270-444-8183 x2114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTOLO",
        "first_name": "RUTH",
        "middle_name": "ANN",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "122148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUTH",
            "last_name": "GOODMAN",
            "middle_name": "ANN",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Summer Leigh Barnes, PT
• Jennifer R Barnhill
• Carl Barrett
• Megan Barrett
• Tyson Bartholomew, MSOT, OTR/L
• Hannah Camille Barton, APRN
• Morgan A Bass
• Bailey Bassi, FNP-C
• Chadwick Bassi
• Joseph A Bassi II, MD

• Registered Dietitian in Paducah, KY
• Providers in Paducah, KY by specialty
• Registered Dietitian in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.