KELLY BLACKBURN


Address: 711 Hambrick Ave, Lexington, KY 40508-2307
Phone: 8186414892

KELLY BLACKBURN (NPI# 1013543172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013543172
Entity Type Individual
Full Name KELLY BLACKBURN
Credential RDN
Practice Address 711 Hambrick Ave
Lexington
KY 40508-2307
Practice Telephone 8186414892
Mailing Telephone 8186414892
Enumeration Date 2020-03-19
Last Update Date 2020-03-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered KY Dietary & Nutritional Service Providers

Other Providers KELLY BLACKBURN

NPI Name Taxonomy Address Enumeration
1669737383 Kelly Anne Blackburn Occupational Therapist 2287 Meadow Mist Ct, Navarre, FL 32566 2012-07-09
1861976649 Kelly Blackburn Counselor 104 S Front Ave, Prestonsburg, KY 41653-1614 2018-09-18
1255668208 Kelly M Blackburn Registered Nurse 2422 N Grandview Blvd, Waukesha, WI 53188-6105 2009-11-12
1942433362 Kelly Blackburn Speech-Language Pathologist 19100 W Lake Houston Pkwy, #104, Humble, TX 77346-5138 2009-09-02

Office Location

Street Address 711 HAMBRICK AVE
City LEXINGTON
State KY
Zip Code 40508-2307

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265906192 Core Chiropractic and Family Wellness Pllc Clinic/Center 524 E.second St, Lexington, KY 40508 2019-01-14
1831669720 Lily Namegabe Community Health Worker 135 Newtown Pike Bldg 1, Lexington, KY 40508 2018-12-04
1669994091 Shawn Luchtefeld Counselor 289 W Loudon Ave, Lexington, KY 40508 2017-07-07
1861808271 Rucha Shukla Pediatrics 138 Leader Ave Rm 9a, Lexington, KY 40508 2014-07-07
1881012946 Peter Movilla Obstetrics & Gynecology Uk Women's Health Obstetrics and Gynecology, 125 E Maxwell St Ste 140, Lexington, KY 40508 2014-04-04
1255753422 Candace Cross Social Worker Kentucky Counseling Center, LLC, 1353 West Main Street, Kentucky, Lexington, KY 40508 2014-01-07
1467896845 Andrew Russell Roads Psychiatry & Neurology Uk University Health Service, 830 S Limestone, Lexington, KY 40508 2013-04-29
1104119890 Thomas Michael Isaacs Pharmacist 130 W. Loudon Ave, Lexington, KY 40508 2011-05-27
1174839401 Gerardo Manuel Heredia Melero Obstetrics & Gynecology Uk Obgyn, 125 E. Maxwell Street, Lexington, KY 40508 2010-08-24
1558512814 Cortney Youens Lee Surgery 125 E. Maxwell St, Suite 302, Lexington, KY 40508 2008-10-06
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093332074 Yolanda Letrice Jackson Dietitian, Registered 1024 Greendale Rd Unit 14103, Lexington, KY 40511-8350 2020-06-25
1669093282 Karen Kay Klefot Dietitian, Registered 1401 Harrodsburg Rd Ste A410, Lexington, KY 40504-3801 2020-05-05
1477102614 Candice Belle Tufano Dietitian, Registered 2184 Winterberry Dr Apt B, Lexington, KY 40504-3251 2019-09-10
1225694789 Ida Marie Ibarra Rodriguez Dietitian, Registered 2692 Braden Way, Lexington, KY 40509-8571 2019-05-10
1215591185 Erin Casey Dietitian, Registered 220 Strawberry Fields Rd, Lexington, KY 40516-9759 2019-04-26
1497220313 Todd Meek Dietitian, Registered 2681 Red Leaf Dr, Lexington, KY 40509-1742 2018-10-06
1114413184 Megan Medrano Dietitian, Registered 163 Old Todds Rd Ste 115, Lexington, KY 40509 2018-07-02
1447747282 Sarah Ann Czarnecki Dietitian, Registered 752 Clayvis Ct, Lexington, KY 40515-6328 2018-04-17
1215449178 University of Kentucky Dietitian, Registered 2195 Harrodsburg Road, Suite 125, Uk Healthcare At Turfland-barnstable Brown Diabetes Cen, Lexington, KY 40504-3504 2017-11-01
1972031433 Taylor Morgan Sirles Dietitian, Registered 4721 Sunset Blvd Ste D, Lexington, SC 29072-9151 2017-05-30
Find all providers in LEXINGTON

Competitor

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City LEXINGTON
Zip Code 40508

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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