Active NPI
Well-Nourished Nutrition LLC
- Registered Dietitian
- Lexington, KY
National Provider Identifier
1942010228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- WELL-NOURISHED NUTRITION LLC
- Practice address
- 424 Lewis Hargett Cir
2ND Floor
Lexington, KY 40503-3688 - Phone
- (859) 285-6485
- NPI assigned
- Jan 9, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristen Talley, RDN
- Title
- Owner
- Phone
- (859) 285-6485
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
424 Lewis Hargett Cir
2ND Floor
Lexington, KY 40503-3688
Mailing address
3070 Lakecrest Cir Ste 400-117
Lexington, KY 40513-1937
Phone (859) 285-6485
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3070 Lakecrest Cir
Ste 400117
Lexington, KY 40513
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737590400000",
"number": "1942010228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3070 LAKECREST CIR STE 400-117",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405131937",
"telephone_number": "859-285-6485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 LEWIS HARGETT CIR",
"address_2": "2ND FLOOR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405033688",
"telephone_number": "859-285-6485"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELL-NOURISHED NUTRITION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-09",
"last_updated": "2025-01-23",
"certification_date": "2025-01-23",
"status": "A",
"authorized_official_last_name": "TALLEY",
"authorized_official_first_name": "KRISTEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "859-285-6485",
"authorized_official_credential": "RDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.