Active NPI
Lilly Dawn Whitley
- Registered Dietitian
- Mt Washington, KY
National Provider Identifier
1932887056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 286886
- Practice address
- 163 Woodwind CT
Mount Washington, KY 40047-6881 - Phone
- (502) 558-7054
- NPI assigned
- Jul 10, 2023
- Last updated
- Jan 3, 2024
- 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 | 286886 | KY | Primary |
Addresses
Primary practice location
163 Woodwind CT
Mount Washington, KY 40047-6881
Mailing address
163 Woodwind CT
Mount Washington, KY 40047-6881
Phone (502) 558-7054
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 |
|---|---|---|---|
| 286886 | KY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Herhealth Nutrition | Dietitian, Registered | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1932887056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 WOODWIND CT",
"city": "MOUNT WASHINGTON",
"state": "KY",
"postal_code": "400476881",
"telephone_number": "502-558-7054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 WOODWIND CT",
"city": "MOUNT WASHINGTON",
"state": "KY",
"postal_code": "400476881",
"telephone_number": "502-558-7054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITLEY",
"first_name": "LILLY",
"middle_name": "DAWN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-10",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KY",
"license": "286886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mt Washington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.