MIKYLA PERES MS, RDN, LD, CN
NPI 1134774102
Dietitian, Registered in Louisville, KY

Q: What is Mikyla Peres's NPI number?

The NPI number for Mikyla Peres is 1134774102. It was assigned to this individual provider in the NPPES registry on August 7, 2019.

Q: What is Mikyla Peres'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 Mikyla Peres was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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 August 07, 2019

2355 POPLAR LEVEL RD STE 301, LOUISVILLE, KY 40217(502) 636-0406 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 18, 2024, Jan 21, 2021, Aug 7, 2019 (3 updates tracked since 2019).

On this page

About Mikyla Peres Ms, Rdn, Ld, Cn NPPES

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

MIKYLA PERES MS, RDN, LD, CN (NPI 1134774102) is an individual dietitian, registered in Louisville, Kentucky and active in the NPI registry since August 2019. She maintains 5 additional practice locations.

NPPES Registry Identity

NPI1134774102

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMIKYLA PERESCredential: MS, RDN, LD, CN

Location Address2355 POPLAR LEVEL RD STE 301Louisville, KY 40217-1388

Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 836-6285 · Fax (502) 272-5116

Phone(502) 636-0406

Sole ProprietorNo

Enumeration DateAugust 7, 2019

Last NPPES UpdateNovember 18, 20243 updates tracked since enumeration

NPPES CertifiedNovember 18, 2024

✔ NPI 1134774102 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.

2355 POPLAR LEVEL RD STE 301, Louisville, KY 40217

Open in Google Maps ↗

Secondary Practice Locations 5

Location 1100 Mallard Creek Rd Ste 320Louisville, KY 40207-5136 · Phone (502) 855-6125

Location 26411 Veterans Memorial PkwyCrestwood, KY 40014-8698 · Phone (502) 241-8611

Location 39880 Angies Way Ste 420Louisville, KY 40241-2850 · Phone (502) 636-0406

Location 4300 High Point CtMT Washington, KY 40047-6560 · Phone (502) 955-6129

Location 54001 Dutchmans LnLouisville, KY 40207-4714 · Phone (503) 893-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTOPHER PATRICK ALCORN DO

Internal Medicine (Endocrinology, Diabetes & Metabolism)