Organization Active NPI

Amy Lorraine Nutrition

  • Registered Dietitian
  • Lexington, KY
National Provider Identifier
1972017663
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
121479 Issued in KY
Legal business name
AMY LORRAINE NUTRITION
Practice address
2620 Wilhite Dr
Lexington, KY 40503-3385
Phone
(859) 278-6031
Fax
(859) 277-7015
NPI assigned
Nov 17, 2017
Last updated
Jan 10, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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

Authorized official

Name
Amy Camenisch, MS, RDN, LDNPI 1679990246
Title
Owner
Phone
(859) 221-5067

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 121479 KY Primary

Addresses

Primary practice location

2620 Wilhite Dr
Lexington, KY 40503-3385

Mailing address

607 N Broadway
Lexington, KY 40508-1435
Phone (859) 221-5067

National Provider Directory

National Provider Directory

Locations

2620 Wilhite Dr
Lexington, KY 40503
Phone (859) 278-6031

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515542400000",
    "number": "1972017663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 N BROADWAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405081435",
            "telephone_number": "859-221-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 WILHITE DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033385",
            "telephone_number": "859-278-6031",
            "fax_number": "859-277-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY LORRAINE NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-17",
        "last_updated": "2018-01-10",
        "status": "A",
        "authorized_official_last_name": "CAMENISCH",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-221-5067",
        "authorized_official_credential": "MS, RDN, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "121479",
            "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 10, 2018; 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.