ASHLEY KIM (NPI# 1972878486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972878486 |
| Entity Type | Individual |
| Full Name | ASHLEY KIM |
| Practice Address |
2600 Greenbush St Lafayette IN 47904-2477 |
| Mailing Address |
Po Box 5545 Lafayette IN 47903-5545 |
| Practice Telephone | 7654488000 |
| Mailing Telephone | 7654488000 |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2012-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 37001945A | IN | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM PROVIDER NUMBER | 000000792842 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619394541 | Ashley Kim | Health Educator | 1515 Wildrose Dr, Gardnerville, NV 89410-5116 | 2014-03-28 |
| 1881871309 | Ashley E Kim | Pharmacist | 21915b Northern Blvd, Bayside, NY 11361 | 2008-01-28 |
| 1487110268 | Ashley Kim | Behavior Technician | 1301 E Orangewood Ave, Anaheim, CA 92805-6807 | 2019-02-16 |
| 1164992574 | Ashley S Kim | Physician Assistant | 111 E 210th St, Bronx, NY 10467-2401 | 2018-11-28 |
| 1891278859 | Ashley Kim | Marriage & Family Therapist | 15339 Saticoy St, Van Nuys, CA 91406-3345 | 2018-09-14 |
| 1073091807 | Ashley Aejin Kim | Optometrist | 10000 Research Blvd Ste 150, Austin, TX 78759-5814 | 2018-08-02 |
| 1851894877 | Ashley Kim | Dietitian, Registered | 11551 Forest Central Dr Ste 202, Dallas, TX 75243-3919 | 2018-03-15 |
| 1730618257 | Ashley Kim | Podiatrist | 510 Hamburg Tpke Ste 108, Wayne, NJ 07470-2033 | 2017-06-08 |
| 1811382898 | Ashley Kim | Student in an Organized Health Care Education/Training Program | 512 N Mcclurg Ct, #1509, Chicago, IL 60611-5359 | 2015-04-06 |
| 1023437506 | Ashley Inyoung Kim | Case Manager/Care Coordinator | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2014-04-10 |
| Street Address |
2600 GREENBUSH ST |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47904-2477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922007996 | Rama Marepally | Internal Medicine | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2005-07-20 |
| 1861039547 | Carly J Yoder | Audiologist | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2019-12-02 |
| 1306488978 | Jana Suzanne Doyle | Registered Nurse | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2019-10-15 |
| 1053968024 | Julie J Debord | Nurse Practitioner | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2019-08-23 |
| 1679120653 | Renee L Weathington | Registered Nurse | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2019-08-23 |
| 1265086565 | Emily L Newlin | Nurse Practitioner | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2019-07-25 |
| 1720555402 | Carrie Ann Anderson | Dietitian, Registered | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2018-10-31 |
| 1306320270 | Britney D Craddock | Nurse Anesthetist, Certified Registered | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2018-09-18 |
| 1790269694 | Kristie J Craddock | Nurse Anesthetist, Certified Registered | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2018-09-18 |
| 1174048797 | Laura A Kilmer | Registered Nurse | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2017-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568998615 | Angela Hands | Physical Therapy Assistant | 1260 North 17th Street, Lafayette, IN 47904 | 2017-05-11 |
| 1366894164 | Kathryn Barnett | Behavioral Analyst | 2785 Cason St # 2, Lafayette, IN 47904 | 2016-07-06 |
| 1881972917 | Rest Assured, LLC | Durable Medical Equipment & Medical Supplies | 180 Professional Ct., Lafayette, IN 47904 | 2011-07-22 |
| 1144514233 | Michelle Cristin Singleton | Dietitian, Registered | 508 N 26th St, Lafayette, IN 47904 | 2011-06-06 |
| 1912134438 | Jean D Trammel | Marriage & Family Therapist | 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 | 2009-06-11 |
| 1902946056 | Terry Richard Baker | Optometrist | 2300 Sagamore Parkway S, Lafayette, IN 47904 | 2007-02-07 |
| 1891862165 | Becki A Bowditch Inc | Social Worker | 2201 Ferry Street, Lafayette, IN 47904 | 2006-11-29 |
| 1326121849 | James Lowell Thomas | Pediatrics | 2300 Ferry St, Lafayette, IN 47904 | 2006-10-21 |
| 1700976719 | Michael Leonard Bagnoli | Dentist | 2020 Union Street, Suite 200, Lafayette, IN 47904 | 2006-10-13 |
| 1255428801 | Lynn Arlen Pestle | Dentist | 2550 Elmwood Avenue, Lafayette, IN 47904 | 2006-10-06 |
| Find all providers in zip 47904 | ||||
| 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 |
|---|---|---|---|---|
| 1154886018 | Stephanie B Kobetz | Dietitian, Registered | 105 Branch Cir, Lafayette, LA 70508-6323 | 2019-02-05 |
| 1497236046 | Frances Mcintosh | Dietitian, Registered | 332 E Farrel Rd Ste C, Lafayette, LA 70508-7183 | 2018-08-22 |
| 1073052692 | Amy Staggs | Dietitian, Registered | 101 W Farrel Rd Ste 101, Lafayette, LA 70508-7243 | 2017-02-15 |
| 1619419124 | Kara M Booth | Dietitian, Registered | 35 Executive Dr, Suite 5, Lafayette, IN 47905-3835 | 2016-11-15 |
| 1629443841 | Corryn Smith Taylor | Dietitian, Registered | 411 Saint Patrick St, Lafayette, LA 70506-4552 | 2015-12-14 |
| 1841605755 | Elizabeth Champagne, LLC | Dietitian, Registered | 1304 Lafayette St, Lafayette, LA 70501-6842 | 2014-06-30 |
| 1275959348 | Jennifer Jackson | Dietitian, Registered | 101 Vinemont Dr, Lafayette, LA 70501-6579 | 2014-03-12 |
| 1134475254 | Traci Quebedeaux | Dietitian, Registered | 201 W. Willow St Bldg A, Lafayette, LA 70501 | 2012-07-26 |
| 1063772671 | Jessica Person Eckert | Dietitian, Registered | 209 Marquette Dr, Lafayette, LA 70503-6640 | 2012-05-17 |
| 1710246962 | Kathleen N Bishop | Dietitian, Registered | 100 Winchester Dr, Apt 402, Lafayette, LA 70506-6096 | 2012-05-09 |
| Find all providers in LAFAYETTE | ||||
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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.