Kelly Hawthorne, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

BDNDTN00221280 Issued in KY

Practice address

3801 Springhurst Blvd
Ste 104
Louisville, KY 40241-6137

Phone

(502) 594-0378

NPI assigned

Jan 12, 2016

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

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": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1740646322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4008 DEER CREEK RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402411578",
            "telephone_number": "502-594-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 SPRINGHURST BLVD",
            "address_2": "STE 104",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402416137",
            "telephone_number": "502-594-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWTHORNE",
        "first_name": "KELLY",
        "credential": "RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "BDNDTN00221280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Kissel Hawley, M.D.
• Noel Prather Hawley, APRN
• John Allen Haws, COTA/L
• Jamarian Jevon Hawthorne
• Jenci Lyn Hawthorne, MEDICAL STUDENT, MD
• Meghan Hawthorne, MD
• Tiffany Hawthorne
• Connie Haxby, LCSW
• Herby G Hay Jr., M.D.
• Parker Haycock

• Registered Dietitian in Louisville, KY
• Providers in Louisville, 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 12, 2016; 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.