MRS. LORI MICHELLE CONGER


Address: 215 E Main St, Providence, KY 42450-1261
Phone: 2706677017

MRS. LORI MICHELLE CONGER (NPI# 1043437817) 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) 1043437817
Entity Type Individual
Full Name MRS. LORI MICHELLE CONGER
Other Name LORI WALLS
Credential RD, LD
Practice Address 215 E Main St
Providence
KY 42450-1261
Mailing Address Po Box 37
Providence
KY 42450-0037
Practice Telephone 2706677017
Mailing Telephone 2706677017
Enumeration Date 2007-04-20
Last Update Date 2018-12-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered KY-05-1869 KY Dietary & Nutritional Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
215 E Main St, Providence, KY 424501261 2706677017

Office Location

Street Address 215 E MAIN ST
City PROVIDENCE
State KY
Zip Code 42450-1261

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336650662 Chelsey Aikins Nurse Practitioner 215 E Main St, Providence, KY 42450-1261 2017-10-13
1477087963 Ellen Parrish Nurse Practitioner 215 E Main St, Providence, KY 42450-1261 2017-04-12
1427598952 Allison Marie Choate Dietitian, Registered 215 E Main St, Providence, KY 42450-1261 2017-03-02
1407393481 Ronnah Ann Alexander Pharmacist 215 E Main St, Providence, KY 42450-1261 2017-01-27
1740727239 Joseph Lowery Nurse Practitioner 215 E Main St, Providence, KY 42450-1261 2017-01-23
1588013197 Emma Buchanan Nurse Practitioner 215 E Main St, Providence, KY 42450-1261 2016-06-06
1053776005 Jane Smith Pharmacist 215 E Main St, Providence, KY 42450-1261 2015-12-17
1124425418 Lori R Marrero Nurse Practitioner 215 E Main St, Providence, KY 42450-1261 2014-12-02
1205239860 Jennifer J Collins Nurse Practitioner 215 E Main St, Providence, KY 42450-1261 2014-09-26
1790126811 Cassy L. Chandler Social Worker 215 E Main St, Providence, KY 42450-1261 2013-07-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255476594 Jon Gregory Dunn Dentist 110 Barrett St, Providence, KY 42450 2007-02-21
1013010768 Kentucky Cvs Pharmacy, L.L.C. Durable Medical Equipment & Medical Supplies 105 Us Highway 41a S, Providence, KY 42450 2006-09-07
1871609842 Wayne C Cole Family Medicine 121 East Main St, Providence, KY 42450 2006-08-22
1194020230 Regional Health Care Affiliates, Inc Family Medicine 9086 State Route 132 West, Clay, KY 42450 2011-01-21
1376747519 Providence Ind. Schools Local Education Agency (LEA) 302 W Main St, Providence, KY 42450-1140 2007-06-12
1679670202 Beth A Devine Nurse Practitioner 215 East Main Street, Providence, KY 42450-1261 2006-09-17
1588638969 Kelly L Cole Family Medicine 121 E Main St, Providence, KY 42450-1268 2006-02-14
1578105763 Amy Michele Hart Pharmacist 127 E Main St, Providence, KY 42450-1268 2019-10-09
1043640659 Christina Cole Chumley Nurse Practitioner 121 E Main St, Providence, KY 42450-1268 2013-11-18
1043556491 Kayla Jean Kukahiko Physical Therapist 123 E Main St, Providence, KY 42450-1268 2012-12-12
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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
1104452747 Lynn Ellen Przystac Dietitian, Registered 101 Dudley St Dept Of, Providence, RI 02905-2499 2020-03-16
1417427071 Julianne Elizabeth Houtchens Dietitian, Registered Adult Primary Care 245 Chapman Street, Providence, RI 02905 2018-11-27
1023562501 Julia E. Berman Dietitian, Registered 114 11th St, Providence, RI 02906-2912 2016-08-12
1871989137 Shira Hirshberg Dietitian, Registered 271a S Main St, Providence, RI 02903-2910 2015-04-13
1336553643 Seven Peas, LLC Dietitian, Registered 219 W Park St, Providence, RI 02908-4851 2014-06-13
1598195497 Shira Hirshberg Dietitian, Registered 383 W Fountain St Ste 105, Providence, RI 02903-3515 2013-11-14
1245582477 Healthy Ever After LLC Dietitian, Registered 438 Broadway, Providence, RI 02909-1622 2012-10-11
1033419858 Randi Konikoff Beranbaum Dietitian, Registered 5 Wingate Rd, Providence, RI 02906-4909 2010-10-26
1619201985 Diana Rose Beaton Dietitian, Registered 325 Angell St, Providence, RI 02906 2009-09-19
1154654788 Elizabeth F Fayram Dietitian, Registered 1 Richmond Sq Ste 158e, Providence, RI 02906-5141 2009-09-15
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City PROVIDENCE
Zip Code 42450

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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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