Nutrition Advisors of Kentuckiana,PLLC

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

License

0622 Issued in KY

Legal business name

NUTRITION ADVISORS OF KENTUCKIANA,PLLC

Practice address

6400 Dutchmans Pkwy
Suite 250
Louisville, KY 40205-3340

Phone

(502) 587-9660

Fax

(502) 540-5615

NPI assigned

Jun 4, 2008

Organization subpart

No

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

Authorized official

Name

Beth Ballard, MS,RD,LD

Title

General Partner

Phone

(502) 507-5430

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212537600000",
    "number": "1871752873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 N SAINT FRANCIS RD",
            "city": "LORETTO",
            "state": "KY",
            "postal_code": "400378164",
            "telephone_number": "502-507-5430",
            "fax_number": "502-348-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 DUTCHMANS PKWY",
            "address_2": "SUITE 250",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053340",
            "telephone_number": "502-587-9660",
            "fax_number": "502-540-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION ADVISORS OF KENTUCKIANA,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-04",
        "last_updated": "2008-06-04",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "502-507-5430",
        "authorized_official_credential": "MS,RD,LD"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "KY",
            "license": "0622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; 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.