Bethany Borders, RD,LD,CDE

Individual provider Active NPI Registered Dietitian · Lexington, KY

NPI 1770945560 · NPPES record last updated Mar 22, 2016

Key facts

NPI
1770945560
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
2500 (KY)
Practice address
1221 S Broadway
Lexington, KY 40504-2701
Phone
(859) 258-4032
NPI assigned
Mar 22, 2016
Sex
Female
Sole proprietor
No

Medicare Care Compare profile

Merit-based Incentive Payment System (MIPS)

Final score
44.67 of 100 (group)
Quality
19.32
Promoting interoperability
0
Improvement activities
40
Cost
79.59

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2500KYMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2500 KY Yes

Addresses

Primary practice location

1221 S Broadway
Lexington, KY 40504-2701

Mailing address

1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-4032

Other providers in Lexington, KY

All providers in Lexington, KY · Registered Dietitian in Kentucky

Sources for this page

Verify at the official NPI Registry.