Andrea Witt
Individual provider Active NPI Registered Dietitian · Taylorsville, KY
NPI 1962348920 · NPPES record last updated Apr 23, 2026
Key facts
- NPI
- 1962348920
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 292860 (KY)
- Practice address
- 58 Tsueda Dr
Taylorsville, KY 40071-8227 - Phone
- (502) 523-2943
- NPI assigned
- Apr 23, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 292860 | KY | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 292860 | KY | Yes |
Addresses
Primary practice location
58 Tsueda Dr
Taylorsville, KY 40071-8227
Mailing address
58 Tsueda Dr
Taylorsville, KY 40071-8227
Phone (502) 523-2943
Other providers in Taylorsville, KY
All providers in Taylorsville, KY · Registered Dietitian in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.