Individual provider Active NPI

Debra L Lentz, RD MS LD CN

  • Registered Dietitian
  • Shepherdsville, KY
National Provider Identifier
1851364798
Registry record updated Sep 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
KY0209 Issued in KY
Practice address
181 Lees Valley Road
Shepherdsville, KY 40165-0278
Phone
(502) 955-7837
Fax
(502) 543-2998
NPI assigned
Feb 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X KY0209 KY Primary

Addresses

Primary practice location

181 Lees Valley Road
Shepherdsville, KY 40165-0278

Mailing address

PO Box 278
181 Lees Valley Road
Shepherdsville, KY 40165-0278
Phone (502) 955-7837

Other identifiers 1

IdentifierTypeStateIssuer
0223505OtherKYMEDICARE GROUP

Other names 1

  • Debra Lee Other name

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
Master of Science

State licenses

LicenseStateTypeSpecialty
0209KYMDClinical Psychologist
KY0209KYMDRegistered Dietitian

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189123200000",
    "number": "1851364798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "address_2": "181 LEES VALLEY ROAD",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401650278",
            "telephone_number": "502-955-7837",
            "fax_number": "502-543-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 LEES VALLEY ROAD",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401650278",
            "telephone_number": "502-955-7837",
            "fax_number": "502-543-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENTZ",
        "first_name": "DEBRA",
        "middle_name": "L",
        "credential": "RD MS LD CN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2007-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "KY0209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "0223505",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "LEE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Shepherdsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.