| Mnt, Inc. | |
|
207 Traditions Blvd, Bowling Green, KY 42103-7957 | |
| (270) 901-3412 | |
| (270) 901-3413 |
| Full Name | Mnt, Inc. |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 207 Traditions Blvd, Bowling Green, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881925428 | NPI | - | NPPES |
| 392072 | Other | TN | CIGNA TN |
| NONE | Other | KY | INTEGRATED HEALTH PLAN |
| 103G709673 | Other | TN | MEDICARE P-TAN |
| 9566482 | Other | KY | AETNA |
| NONE | Other | TN | BLUE CROSS BLUE SHIELD TN |
| NONE | Other | KY | HUMANA KY |
| 000000334989 | Other | KY | ANTHEM |
| 01616306 | Other | TN | AMERIGROUP TN |
| 1526503 | Other | TN | TENNCARE MEDICAID |
| NONE | Other | KY | BLUEGRASS FAMILY HEALTH |
| NONE | Other | KY | OPTUM HEALTH |
| 01256 | Other | KY | MEDICARE P-TAN |
| DQ0042 | Other | KY | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (Kentucky) | Primary |
| 163W00000X | Registered Nurse | (Kentucky) | Secondary |
| 174400000X | Specialist | (Kentucky) | Secondary |
| Provider Name | Sydney Griffin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1730874264 PECOS PAC ID: 6608234224 Enrollment ID: I20230614000812 |
| Provider Name | Dayna Zoe Carpenter |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1053123364 PECOS PAC ID: 8921538703 Enrollment ID: I20250211001325 |
| Provider Name | Sarah Helm |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1376355560 PECOS PAC ID: 7214467976 Enrollment ID: I20250402002528 |
| Provider Name | Marissa Hewitt |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1871481564 PECOS PAC ID: 5294233797 Enrollment ID: I20250909003731 |
| Provider Name | Richard Santucci |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1407151012 PECOS PAC ID: 5991974115 Enrollment ID: I20251124002696 |
| Mailing Address | Practice Location Address |
|---|---|
| Mnt, Inc. 207 Traditions Blvd, Bowling Green, KY 42103-7957 Ph: (270) 901-3412 | Mnt, Inc. 207 Traditions Blvd, Bowling Green, KY 42103-7957 Ph: (270) 901-3412 |
Chelsea Nicole Coleman, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 740 E 10th Ave, Bowling Green, KY 42101 Phone: 270-745-0942 |
Julie K Lee, RDN, LDN, CDCES,MLDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 740 E 10th Ave, Bowling Green, KY 42101 Phone: 270-745-1010 |
Bethany Crask, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1109 State St, Bowling Green, KY 42101 Phone: 270-781-8039 |
Sarah Widener, RD Dietitian Medicare: Medicare Enrolled Practice Location: 843 Fairview Ave, Suite 6, Bowling Green, KY 42101 Phone: 270-901-3412 Fax: 270-901-3413 |
Ella Louise Burroughs, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 207 Traditions Blvd, Bowling Green, KY 42103 Phone: 270-901-3412 |
Autumn L Mastroianni, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 843 Fairview Ave, Suite B6, Bowling Green, KY 42101 Phone: 270-901-3412 Fax: 270-901-3413 |
Lorie Ann Hagan, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2625 Scottsville Rd, Bowling Green, KY 42104 Phone: 270-745-0942 Fax: 270-745-0683 |