Healthcare Provider Details

I. General information

NPI: 1609267624
Provider Name (Legal Business Name): ERICA RHORER RDN, LD, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2015
Last Update Date: 01/07/2024
Certification Date: 01/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 E REYNOLDS RD STE 3
LEXINGTON KY
40517-1251
US

IV. Provider business mailing address

120 E REYNOLDS RD STE 3
LEXINGTON KY
40517-1251
US

V. Phone/Fax

Practice location:
  • Phone: 859-287-2996
  • Fax:
Mailing address:
  • Phone: 859-287-2996
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number2319
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: