KELLY HAWTHORNE


Address: 3801 Springhurst Blvd, Ste 104, Louisville, KY 40241-6137
Phone: 5025940378

KELLY HAWTHORNE (NPI# 1740646322) 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) 1740646322
Entity Type Individual
Full Name KELLY HAWTHORNE
Credential RD, LD
Practice Address 3801 Springhurst Blvd
Ste 104
Louisville
KY 40241-6137
Mailing Address 4008 Deer Creek Rd
Louisville
KY 40241-1578
Practice Telephone 5025940378
Mailing Telephone 5025940378
Enumeration Date 2016-01-12
Last Update Date 2016-01-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered BDNDTN00221280 KY Dietary & Nutritional Service Providers

Other Providers KELLY HAWTHORNE

NPI Name Taxonomy Address Enumeration
1821492182 Kelly Hawthorne Nurse Practitioner 800 Rose St, Whitney Hendrickson Building, Lexington, KY 40536-0001 2014-10-15

Office Location

Street Address 3801 SPRINGHURST BLVD
STE 104
City LOUISVILLE
State KY
Zip Code 40241-6137

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629073952 P Joel Velasco Psychiatry & Neurology 3801 Springhurst Blvd, Ste 101, Louisville, KY 40241-6137 2005-06-14
1174909014 Manavjeet Kailey Optometrist 3801 Springhurst Blvd, Suite 103, Louisville, KY 40241-6137 2015-08-03
1174827711 Virginia Brislin Psychologist 3801 Springhurst Blvd, Suite 101, Louisville, KY 40241-6137 2010-12-22
1912217035 Springhurst Endodontics Clinic/Center 3801 Springhurst Blvd, Ste 108, Louisville, KY 40241-6137 2010-10-08
1487960860 Springhurst Endodontics, Psc Clinic/Center 3801 Springhurst Blvd, 108, Louisville, KY 40241-6137 2010-08-24
1932333168 Stephanie Olson Occupational Therapist 3801 Springhurst Blvd, Ste 109, Louisville, KY 40241-6137 2009-05-01
1730313966 Erik Brown Occupational Therapist 3801 Springhurst Blvd, Ste 109, Louisville, KY 40241-6137 2009-05-01
1992939128 Kim Stowers Occupational Therapist 3801 Springhurst Blvd, Ste 109, Louisville, KY 40241-6137 2009-05-01
1750571915 Advanced Cardiovascular Specialists Psc Internal Medicine 3801 Springhurst Blvd, Suite 104, Louisville, KY 40241-6137 2007-07-25
1639249261 Therapy Works, Inc Occupational Therapy Assistant 3801 Springhurst Blvd, Suite 109, Louisville, KY 40241-6137 2006-11-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164033353 Tyler Roberts Physician Assistant Private, Louisville, KY 40241 2020-08-12
1639636988 Paladina Health, LLC Family Medicine Paladina Health Louisville Park Plaza, 9720 Park Plaza Avenue #101, Louisville, KY 40241 2019-02-22
1164990396 Tiffany Elizabeth Gallucci Nurse Practitioner 4915 Norton Healthcare Boulevard, Louisville, KS 40241 2018-11-06
1952876146 Ashley Lynne Johnson Belcher Psychologist 9700 Park Plaza Avenue, Ste. 106, Louisville, KY 40241 2018-10-04
1265935977 Family Podiatry Center Pllc Podiatrist 9850 Von Allmen Ct, Louisville, KY 40241 2018-03-09
1346767472 Bridgett Lin Youngblood Case Manager/Care Coordinator 4313 Brownsboro Glen Rd, Louisville, KY 40241 2017-08-29
1518375690 Amir Shahla Dentist 10500 Fischer Park Dr, Louisville, KY 40241 2014-08-01
1255741781 Alicia M Durham Marriage & Family Therapist 3900 Riveroaks Ln, Louisville, KY 40241 2014-05-06
1962826719 Applied Behavioral Consulting, LLC Community/Behavioral Health 4517 Shenandoah Drive, Louisville, KY 40241 2014-02-14
1336579176 Nicholas Weickel Physical Therapist 9880 Angie's Way, Suite 100, Louisville, KY 40241 2013-11-14
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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
1851908727 Laura Elizabeth Dean Dietitian, Registered 411 E Chestnut St Ste 544, Louisville, KY 40202-1713 2020-09-25
1629684907 Jaclyn Vaughn Moore Dietitian, Registered 234 E Gray St Ste 164, Louisville, KY 40202-1903 2020-09-22
1790391118 Elizabeth Marie Riddle Dietitian, Registered 4955 Norton Healthcare Blvd Ste 102, Louisville, KY 40241-2832 2020-09-21
1801401294 Elizabeth Bell Dietitian, Registered 241 Franck Ave, Louisville, KY 40206-2544 2020-09-11
1235751504 Jessica Leigh Heckroth Dietitian, Registered 633 E Main St Unit 558, Louisville, KY 40202-4711 2020-05-10
1164060356 Jennifer Nixon Dietitian, Registered 3329 Wellingmoor Ave, Louisville, KY 40218-1028 2019-12-18
1023669025 Olivia Nell Hoelker Dietitian, Registered 9105 Hassy Way, Louisville, KY 40299-6645 2019-09-23
1649829128 Brooke Carroll Hendrick Dietitian, Registered 4506 Epinay Ct, Louisville, KY 40272-2777 2019-09-08
1407315153 Shawn A. Sales Dietitian, Registered 1607 Bonnycastle Ave, Louisville, KY 40205-1012 2019-03-12
1821588443 Catherine Boston Dietitian, Registered 2602 Merriwood Dr, Louisville, KY 40299-1735 2018-05-18
Find all providers in LOUISVILLE

Competitor

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City LOUISVILLE
Zip Code 40241

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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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