Rick Loudermelt, RPH, DPH, RD, LD
Individual provider Active NPI Registered Dietitian · Williamsburg, KY
NPI 1760654073 · NPPES record last updated Nov 28, 2010
Key facts
- NPI
- 1760654073
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 2083 (KY)
- Practice address
- 475 N Highway 25 W
Williamsburg, KY 40769-1576 - Phone
- (606) 215-6352
- Fax
- (877) 792-5105
- NPI assigned
- Mar 26, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2083 | KY | MD | Clinical Social Worker |
| 12249 | AL | MD | Pharmacist |
| 12304 | KY | MD | Pharmacist |
| 11957 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RL Nutrition Services | Past |
Accepting new patients | |
| Corner Prescription Shoppe Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2083 | KY | Yes |
| 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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11896924 | Other | CAQH |
Other providers in Williamsburg, KY
- Latessa Lawson
- Melissa Ann Lawson
- Morgan Lay
- Lindsay J Ledwich
- William Linscomb
- Jeffrey L Mann
- Brittany Manus
- Stephanie Denise Martin
- Elisa Bennett Mauldin
- Allison Lynn Maxey
All providers in Williamsburg, KY · Registered Dietitian in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 28, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.