Active NPI
Candace Hollieanna Middleton, R.D., L.D.
- Registered Dietitian
- Campton, KY
National Provider Identifier
1871893099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2172
- Practice address
- 3015 Quillen Chapel Rd.
Campton, KY 41301 - Phone
- (606) 668-7494
- NPI assigned
- Oct 22, 2010
- Last updated
- Apr 23, 2018
- 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 | 2172 | KY | Primary |
Addresses
Primary practice location
3015 Quillen Chapel Rd.
Campton, KY 41301
Mailing address
2257 Quillen Chapel Rd
Campton, KY 41301-8354
Phone (606) 422-9502
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2172 | KY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524441600000",
"number": "1871893099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2257 QUILLEN CHAPEL RD",
"city": "CAMPTON",
"state": "KY",
"postal_code": "413018354",
"telephone_number": "606-422-9502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3015 QUILLEN CHAPEL RD.",
"city": "CAMPTON",
"state": "KY",
"postal_code": "41301",
"telephone_number": "606-668-7494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDDLETON",
"first_name": "CANDACE",
"middle_name": "HOLLIEANNA",
"credential": "R.D., L.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-22",
"last_updated": "2018-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KY",
"license": "2172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Campton, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.