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SHARI ROSE WILLY RD, LDE
NPI 1669002226
Dietitian, Registered in Louisville, KY

Active since January 23, 2020
411 E CHESTNUT ST # 5A6B, LOUISVILLE, KY 40202(502) 588-4940(502) 588-7712 Get Directions Write a Review

NPPES record last updated: June 24, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 24, 2020, Jan 23, 2020 (2 updates tracked since 2020).

About Shari Rose Willy Rd, Lde NPPES

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

SHARI ROSE WILLY RD, LDE (NPI 1669002226) is an individual dietitian, registered in Louisville, Kentucky, licensed in Kentucky (124742) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1669002226
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameSHARI ROSE WILLYCredential: RD, LDE
Location Address411 E CHESTNUT ST # 5A6BLouisville, KY 40202-1713
Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 588-9490 · Fax (502) 272-5116
Phone(502) 588-4940
Fax(502) 588-7712
Sole ProprietorYes
Enumeration DateJanuary 23, 2020
Last NPPES UpdateJune 24, 20202 updates tracked since enumeration
NPPES CertifiedJune 24, 2020
✔ NPI 1669002226 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 · 124742
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.
411 E CHESTNUT ST # 5A6B, Louisville, KY 40202
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Other Names 1

Former Name (1)Shari Rose Navis Rd

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shari Rose Willy Rd, Lde is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Shari Willy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Norton Children's Medical Group, LLC
10 mi
Clinical Genetics (M.D.)
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Norton Childrens Medical Group LLC
  • 1,008 clinicians in this Medicare group
NPI 1013559921 (502) 272-5336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

NEMR S EID MD
Pediatrics (Pediatric Pulmonology)
411 E CHESTNUT ST # 5A6B
LOUISVILLE, KY 40202
Jefferson County (502) 588-4940
ELYSIA WILLIAMS BURLEY LCSW
Social Worker (Clinical)
411 E CHESTNUT ST # 5A6B
LOUISVILLE, KY 40202
Jefferson County (502) 588-4940
BETHANY ANN SAKIE
Nurse Practitioner (Family)
411 E CHESTNUT ST # 5A6B
LOUISVILLE, KY 40202
Jefferson County (502) 588-4940
NICOLE WHEATLEY LCSW
Social Worker (Clinical)
411 E CHESTNUT ST # 5A6B
LOUISVILLE, KY 40202
Jefferson County (502) 588-4940
MRS. LAURA ELIZABETH DEAN RD, CSP, LD
Dietitian, Registered
411 E CHESTNUT ST # 5A6B
LOUISVILLE, KY 40202
Jefferson County (502) 588-4940

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 Shari Willy's NPI number?

The NPI number for Shari Willy is 1669002226. It was assigned to this individual provider in the NPPES registry on January 23, 2020. The provider is also known as Shari Rose Navis Rd.

Where is Shari Willy located?

Shari Willy practices at 411 E Chestnut St # 5a6b, Louisville, KY 40202. The listed phone number is (502) 588-4940.

What is Shari Willy's specialty?

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

Is Shari Willy enrolled in Medicare?

Yes. Shari Willy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shari Willy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shari Willy reassigns Medicare benefits to Norton Children's Medical Group, LLC (Louisville, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shari Willy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shari Willy accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter of Tennessee and CareSource list Shari Willy 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 Shari Willy was last updated on June 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.