KELLY BLACKBURN RDN
NPI 1013543172
Dietitian, Registered in Lexington, KY

Q: What is Kelly Blackburn's NPI number?

The NPI number for Kelly Blackburn is 1013543172. It was assigned to this individual provider in the NPPES registry on March 19, 2020.

Q: What is Kelly Blackburn's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Blackburn was last updated on January 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 19, 2020Accepts Medicare Assignment

711 HAMBRICK AVE, LEXINGTON, KY 40508(818) 641-4892 Get Directions Write a Review

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Jan 27, 2022, Mar 19, 2020 (2 updates tracked since 2020).

On this page

About Kelly Blackburn Rdn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY BLACKBURN RDN (NPI 1013543172) is an individual dietitian, registered in Lexington, Kentucky and active in the NPI registry since March 2020. She is a graduate of Other (2018).

NPPES Registry Identity

NPI1013543172

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameKELLY BLACKBURNCredential: RDN

Location Address711 HAMBRICK AVELexington, KY 40508-2307

Mailing AddressPo Box 368Stanville, KY 41659-0368

Phone(818) 641-4892

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateMarch 19, 2020

Last NPPES UpdateJanuary 27, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 27, 2022

✔ NPI 1013543172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

Definition

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.

711 HAMBRICK AVE, Lexington, KY 40508

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Blackburn Rdn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133654809

PECOS Enrollment IDI20241119002010

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40508 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $52.76 – $162.27

Typical copayment $0.00 (range $13.19 – $40.56)

Most-billed visit code NA

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Blackburn's NPI number?

The NPI number for Kelly Blackburn is 1013543172. It was assigned to this individual provider in the NPPES registry on March 19, 2020.

Where is Kelly Blackburn located?

Kelly Blackburn practices at 711 Hambrick Ave, Lexington, KY 40508. The listed phone number is (818) 641-4892.

What is Kelly Blackburn's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Kelly Blackburn enrolled in Medicare?

Yes. Kelly Blackburn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelly Blackburn accept?

Health plans from Blue Cross and Blue Shield of Texas list Kelly Blackburn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Blackburn was last updated on January 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.