Active NPI
Kara Fricke Pendergrass, MS, RD, LD
- Renal Nutrition Registered Dietitian
- Danville, KY
National Provider Identifier
1730179458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Renal Nutrition Registered Dietitian
- License
- 0138
- 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
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 |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0138 | KY | MD | Renal Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition 2 You | Current | 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.
-
- Registered Dietitian
- Danville, KY
- NPI 1770444812
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1326091448
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Lexington, KY
- NPI 1881765204
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.