Active NPI
Rick Loudermelt, RPH, DPH, RD, LD
- Registered Dietitian
- Williamsburg, KY
National Provider Identifier
1760654073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2083
- Practice address
- 475 N Highway 25 W
Williamsburg, KY 40769-1576 - Phone
- (606) 215-6352
- Fax
- (877) 792-5105
- NPI assigned
- Mar 26, 2008
- Last updated
- Nov 28, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2083 | KY | Primary |
| Pharmacist | 183500000X | 12304 | KY | |
| Pharmacist | 183500000X | 11957 | TN | |
| Pharmacist | 183500000X | 12249 | AL |
Addresses
Primary practice location
475 N Highway 25 W
Williamsburg, KY 40769-1576
Mailing address
PO Box 698
Williamsburg, KY 40769-0698
Phone (606) 215-6352
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11957 | TN | MD | General Practice Dentistry |
| 12249 | AL | MD | Pharmacist |
| 12304 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corner Prescription Shoppe Inc | Past | Accepting new patients | |
| RL Nutrition Services | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nutrition Education Nutritionist
- Williamsburg, KY
- NPI 1730336975
-
- Community/Retail Pharmacy
- Williamsburg, KY
- NPI 1194942292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290902400000",
"number": "1760654073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 698",
"city": "WILLIAMSBURG",
"state": "KY",
"postal_code": "407690698",
"telephone_number": "606-215-6352",
"fax_number": "877-792-5105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 N HIGHWAY 25 W",
"city": "WILLIAMSBURG",
"state": "KY",
"postal_code": "407691576",
"telephone_number": "606-215-6352",
"fax_number": "877-792-5105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOUDERMELT",
"first_name": "RICK",
"credential": "RPH, DPH, RD, LD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-26",
"last_updated": "2010-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KY",
"license": "2083",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "12304",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "11957",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "12249",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsburg, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.