Organization Active NPI

Bevins Crowley Nutrition LLC

  • Registered Dietitian
  • Danville, KY
National Provider Identifier
1699292946
Registry record updated Aug 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
629957 Issued in NU
Legal business name
BEVINS CROWLEY NUTRITION LLC
Practice address
640 E Lexington Ave
Danville, KY 40422-1719
Phone
(502) 316-8776
Fax
(502) 316-8776
NPI assigned
Aug 28, 2017
Last updated
Aug 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2017

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

Authorized official

Name
Fran Bevins Crowley, RD, LD
Title
Agent
Phone
(502) 316-8776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 629957 NU Primary

Addresses

Primary practice location

640 E Lexington Ave
Danville, KY 40422-1719

Mailing address

1122 Taylor Rd
Danville, KY 40422-8853
Phone (502) 316-8776

Other identifiers 2

IdentifierTypeStateIssuer
122376OtherKYKENTUCKY LICENSURE FOR DIETITIANS
629957OtherREGISTERED DIETITIAN

National Provider Directory

National Provider Directory

Locations

640 E Lexington Ave
Danville, KY 40422
Phone (859) 236-1250

NPI Registry JSON

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503878400000",
    "number": "1699292946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 TAYLOR RD",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404228853",
            "telephone_number": "502-316-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 E LEXINGTON AVE",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221719",
            "telephone_number": "502-316-8776",
            "fax_number": "502-316-8776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVINS CROWLEY NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-28",
        "last_updated": "2017-08-28",
        "status": "A",
        "authorized_official_last_name": "CROWLEY",
        "authorized_official_first_name": "FRAN",
        "authorized_official_middle_name": "BEVINS",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "502-316-8776",
        "authorized_official_credential": "RD, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": "629957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY LICENSURE FOR DIETITIANS",
            "identifier": "122376",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED DIETITIAN",
            "identifier": "629957",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2017; 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.