ETHAN MATTINGLY RD
NPI 1386259471
Dietitian, Registered in Payneville, KY

Active since September 15, 2020
175 THAD REDMAN RD, PAYNEVILLE, KY 40157(270) 496-4435 Get Directions Write a Review

NPPES record last updated: September 15, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ethan Mattingly Rd NPPES

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

ETHAN MATTINGLY RD (NPI 1386259471) is an individual dietitian, registered in Payneville, Kentucky, licensed in Kentucky (164314) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1386259471
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameETHAN MATTINGLYCredential: RD
Location Address175 THAD REDMAN RDPayneville, KY 40157-7524
Mailing Address175 Thad Redman RdPayneville, KY 40157-7524 · (270) 496-4435
Sole ProprietorNo
Enumeration DateSeptember 15, 2020
NPPES CertifiedSeptember 15, 2020
NPI 1386259471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License Licensed in KY · 164314
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.

175 THAD REDMAN RD, Payneville, KY 40157

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386259471, enumerated as an "individual" on September 15, 2020.

The provider is located at 175 THAD REDMAN RD PAYNEVILLE, KY 40157 and the phone number is (270) 496-4435.

Dietitian, Registered with taxonomy code 133V00000X.