Provider Demographics
NPI:1427387471
Name:SCHWEISS, LINDA CAROL (RD, LD, CDE)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:CAROL
Last Name:SCHWEISS
Suffix:
Gender:F
Credentials:RD, LD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 BRECKINRIDGE LANE
Mailing Address - Street 2:SUITE 220
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-4674
Mailing Address - Country:US
Mailing Address - Phone:502-708-2940
Mailing Address - Fax:502-708-2942
Practice Address - Street 1:950 BRECKINRIDGE LANE
Practice Address - Street 2:SUITE 220
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4674
Practice Address - Country:US
Practice Address - Phone:502-708-2940
Practice Address - Fax:502-708-2942
Is Sole Proprietor?:No
Enumeration Date:2009-12-21
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0233133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYK033000Medicare Oscar/Certification