Individual provider Active NPI

Allison Brooke Vinyard, MS, RD, LD

  • Registered Dietitian
  • Paducah, KY
National Provider Identifier
1922350198
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
KY-2065 Issued in KY
Practice address
145 Molloy CT
Paducah, KY 42003-9453
Phone
(270) 331-3718
Fax
(270) 415-5322
NPI assigned
Oct 11, 2012
Last updated
Oct 11, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X KY-2065 KY Primary
Metabolic Nutrition Registered Dietitian 133VN1006X KY-2065 KY

Addresses

Primary practice location

145 Molloy CT
Paducah, KY 42003-9453

Mailing address

571 S Floyd St
Suite 100
Louisville, KY 40202-3828
Phone (270) 331-3718

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
KY-2065KYMDMassage Therapist

Interoperability endpoints

  • Direct secure messaging: allison.vinyard.1@8363.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1922350198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 S FLOYD ST",
            "address_2": "SUITE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023828",
            "telephone_number": "270-331-3718",
            "fax_number": "270-415-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 MOLLOY CT",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420039453",
            "telephone_number": "270-331-3718",
            "fax_number": "270-415-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINYARD",
        "first_name": "ALLISON",
        "middle_name": "BROOKE",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-11",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "KY-2065",
            "primary": true
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "KY",
            "license": "KY-2065",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.