NPIMap

Organization Active NPI

Lexstart Nutrition, LLC

  • Registered Dietitian
  • Lexington, KY
National Provider Identifier
1942715776
Registry record updated Dec 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
166670 Issued in KY
Legal business name
LEXSTART NUTRITION, LLC
Practice address
90 Southport Dr
Lexington, KY 40503-1819
Phone
(859) 429-8935
NPI assigned
Dec 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2017

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

Authorized official

Name
Mrs. Emily Dickens McGlone, MS, RD, LD, CLTNPI 1376094169
Title
Owner/Registered Dietitian
Phone
(859) 429-8935

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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133V00000X 166670 KY Primary

Addresses

Primary practice location

90 Southport Dr
Lexington, KY 40503-1819

Mailing address

320 Lebeau Dr
Nicholasville, KY 40356-7104
Phone (859) 494-2561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190422002462 KY Part B Supplier - Clinic/Group Practice 0648512723 Receives reassigned benefits from 2 practitioners
Practice locations: Lexington, KY

National Provider Directory

National Provider Directory

Locations

1078 Wellington Way
Lexington, KY 40513
Phone (859) 429-8935

Practitioners & affiliated clinicians

Practitioners 5

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": "1512086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512086400000",
    "number": "1942715776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 LEBEAU DR",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403567104",
            "telephone_number": "859-494-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 SOUTHPORT DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031819",
            "telephone_number": "859-429-8935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXSTART NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-01",
        "last_updated": "2017-12-01",
        "status": "A",
        "authorized_official_last_name": "MCGLONE",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "DICKENS",
        "authorized_official_title_or_position": "OWNER/REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "859-429-8935",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, RD, LD, CLT"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "166670",
            "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 Dec 1, 2017; 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.

Verify at the official NPI Registry.