Active NPI
Andrea Doughty, RD, CDCES
- Registered Dietitian
- Bowling Green, KY
National Provider Identifier
1801401468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 168623
- Practice address
- 207 Traditions Blvd
Bowling Green, KY 42103-7957 - Phone
- (270) 901-3412
- NPI assigned
- Sep 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 168623 | KY | Primary |
Addresses
Primary practice location
207 Traditions Blvd
Bowling Green, KY 42103-7957
Mailing address
52 Parkview Ave
Newport, KY 41071-2362
Phone (859) 250-8928
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 168623 | KY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1801401468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 PARKVIEW AVE",
"city": "NEWPORT",
"state": "KY",
"postal_code": "410712362",
"telephone_number": "859-250-8928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 TRADITIONS BLVD",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421037957",
"telephone_number": "270-901-3412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGHTY",
"first_name": "ANDREA",
"credential": "RD, CDCES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-10",
"last_updated": "2020-09-10",
"certification_date": "2020-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KY",
"license": "168623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.