KELLY BLACKBURN (NPI# 1013543172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | KY | Dietary & Nutritional Service Providers |
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 |
Street Address |
711 HAMBRICK AVE |
City | LEXINGTON |
State | KY |
Zip Code | 40508-2307 |
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 |
Find all providers in zip 40508 |
Taxonomy Code | 133V00000X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
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. |
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 |
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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.