Individual provider Active NPI

Kara Fricke Pendergrass, MS, RD, LD

  • Renal Nutrition Registered Dietitian
  • Danville, KY
National Provider Identifier
1730179458
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Renal Nutrition Registered DietitianTaxonomy code 133VN1005X
License
0138 Issued in KY
Practice address
150 War Admiral Ste 4
Danville, KY 40422-8690
Phone
(859) 236-6300
Fax
(859) 236-6308
NPI assigned
Oct 25, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Renal Nutrition Registered Dietitian 133VN1005X 0138 KY Primary

Addresses

Primary practice location

150 War Admiral Ste 4
Danville, KY 40422-8690

Mailing address

3077 N. Saint Francis Rd
Loretto, KY 40037
Phone (270) 692-8535

Other names 1

  • Miss Kara Sue Pendergrass Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060324000124 KY Practitioner - Registered Dietitian Or Nutrition Professional 0547278012 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0138KYMDRenal Nutrition Registered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrition 2 You CurrentSince Feb 1, 2026 Accepting new patients
Kentucky Nephrology Research Trust, Inc. Past Accepting new patients
Kentucky Medical Services Foundation, Inc Past Accepting new patients

Locations

150 War Admiral
Ste 4
Danville, KY 40422
Phone (859) 235-6300

Organizations & group practices 3

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": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1730179458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3077 N. SAINT FRANCIS RD",
            "city": "LORETTO",
            "state": "KY",
            "postal_code": "40037",
            "telephone_number": "270-692-8535",
            "fax_number": "502-388-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 WAR ADMIRAL STE 4",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404228690",
            "telephone_number": "859-236-6300",
            "fax_number": "859-236-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDERGRASS",
        "first_name": "KARA",
        "middle_name": "FRICKE",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-25",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "KY",
            "license": "0138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARA",
            "last_name": "PENDERGRASS",
            "middle_name": "SUE",
            "prefix": "MISS",
            "credential": "MS, RD, LD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.