Breanna Holt-betancourt, is a
Dietitian, Registered based in Worthington, Kentucky. Breanna Holt-betancourt is licensed to practice in Kentucky (license number 303028) and her current practice location is
832 Cheryl Ann Ct, Worthington, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(720) 513-4446.
NPI number for Breanna Holt-betancourt is 1417818980 and her current mailing address is 832 Cheryl Ann Ct, Worthington, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417818980.
Healthcare Provider's Profile
| Full Name | Breanna Holt-betancourt |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 832 Cheryl Ann Ct, Worthington, Kentucky |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417818980
- Provider Enumeration Date: 11/24/2025
- Last Update Date: 11/24/2025
Medical Identifiers
Medical identifiers for Breanna Holt-betancourt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1417818980 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | 1926 (West Virginia) | Secondary |
| 133V00000X | Dietitian, Registered | 303028 (Kentucky) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Breanna Holt-betancourt is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Breanna Holt-betancourt, 832 Cheryl Ann Ct, Worthington, KY 41183-9529 Ph: () - | Breanna Holt-betancourt, 832 Cheryl Ann Ct, Worthington, KY 41183-9529 Ph: (720) 513-4446 |
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