Provider Demographics
NPI:1649778168
Name:SENNINGER, NATALIE (RD, LDN)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:SENNINGER
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 TURNSTILE TRCE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40223-3498
Mailing Address - Country:US
Mailing Address - Phone:502-381-3678
Mailing Address - Fax:
Practice Address - Street 1:10002 SHELBYVILLE RD STE 110
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40223-3977
Practice Address - Country:US
Practice Address - Phone:502-381-3678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-30
Last Update Date:2018-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY174306133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered