MS. MARY A CHEATHAM RD NPI 1588825335

NPI Information

  • NPI: 1588825335
  • Provider Name: MS. MARY A CHEATHAM, RD
  • Classification: Dietitian, Registered - 133V00000X
  • Entity Type: Individual
  • Address: 3720 RAIKES HILL RD
    ELK HORN, KY
    ZIP 42733
  • Phone: (270) 789-0625

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NPI Details

MS. Mary A Cheatham, RD is a dietitian registered in Elk Horn, KY. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. MS. Mary A Cheatham, RD NPI is 1588825335. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3720 RAIKES HILL RD
ELK HORN, KY
ZIP 42733-717
Phone: (270) 789-0625

The enumeration date for this NPI number is 6/24/2008 and was last updated on 8/27/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133V00000XDietitian, RegisteredKY-1119KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
120116018MEDICAIDKENTUCKY
220104014MEDICAIDKENTUCKY
30300317MEDICARE PINKENTUCKY
40299917MEDICARE PINKENTUCKY
50300219MEDICARE PINKENTUCKY
60300419MEDICARE PINKENTUCKY
720109013MEDICAIDKENTUCKY
820023016MEDICAIDKENTUCKY
90300517MEDICARE PINKENTUCKY
1020001012MEDICAIDKENTUCKY
1120100012MEDICAIDKENTUCKY
1220074019MEDICAIDKENTUCKY
1320044012MEDICAIDKENTUCKY
1420029013MEDICAIDKENTUCKY
150300617MEDICARE PINKENTUCKY
1620027017MEDICAIDKENTUCKY
1720901211MEDICAIDKENTUCKY
180300817MEDICARE PINKENTUCKY
190300017MEDICARE PINKENTUCKY
200300717MEDICARE PINKENTUCKY
210300119MEDICARE PINKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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