Healthcare Provider Details

I. General information

NPI: 1225123730
Provider Name (Legal Business Name): MARTHA GREGORY & ASSOC., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3010 TAYLOR SPRINGS DR
LOUISVILLE KY
40220
US

IV. Provider business mailing address

3010 TAYLOR SPRINGS DR
LOUISVILLE KY
40220
US

V. Phone/Fax

Practice location:
  • Phone: 502-458-4588
  • Fax: 502-458-4240
Mailing address:
  • Phone: 502-458-4588
  • Fax: 502-458-4240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133VN1004X
TaxonomyPediatric Nutrition Registered Dietitian
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State

VIII. Authorized Official

Name: MR. JOE VENEZIA
Title or Position: VP
Credential:
Phone: 502-458-4238