Elise Meyer Ball, MS, RDN

Individual provider Active NPI Registered Dietitian · Louisville, KY

NPI 1851912893 · NPPES record last updated Apr 30, 2020

Key facts

NPI
1851912893
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
239671 (KY)
Practice address
680 S 4TH St
Louisville, KY 40202-2407
Phone
(502) 596-3700
NPI assigned
Apr 30, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
239671KYMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 239671 KY Yes

Addresses

Primary practice location

680 S 4TH St
Louisville, KY 40202-2407

Mailing address

12706 Ridgemoor Dr
Prospect, KY 40059-8191
Phone (502) 727-8855

Other practice location 1

12706 Ridgemoor Dr
Prospect, KY 40059-8191
Phone (502) 727-8855

Other providers in Louisville, KY

All providers in Louisville, KY · Registered Dietitian in Kentucky

Sources for this page

Verify at the official NPI Registry.