Individual provider Active NPI

Laura Lynn Iacono, RD CDN

  • Registered Dietitian
  • Nashville, TN
National Provider Identifier
1003020462
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
3950 Issued in TN
Practice address
2004 Hayes St Ste 545
Nashville, TN 37203-2655
Phone
(629) 401-4494
NPI assigned
May 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nutrition Registered Dietitian 133VN1004X 834048 IL
Nutritionist 133N00000X 001919 NY
Registered Dietitian 133V00000X 3950 TN Primary
Nutrition Education Nutritionist 133NN1002X 001919 NY

Addresses

Primary practice location

2004 Hayes St Ste 545
Nashville, TN 37203-2655

Mailing address

170 E Main St Ste D127
Hendersonville, TN 37075-2587
Phone (615) 854-3243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251210004383 TN Practitioner - Registered Dietitian Or Nutrition Professional 3274027859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pathpoint Health MTN, LLCGroup PAC ID 8628587045, 11 clinicians

Practice addresses (Care Compare)

2004 Hayes St
Suite 545
Nashville, TN 37203-2655
Phone (629) 236-2173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3950TNMDPsychologist
001919NYMDNutritionist
834048ILMDPediatric Nutrition Registered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Pathpoint Health MTN, LLC CurrentSince Nov 1, 2025 Accepting new patients

Locations

2292 Dalton Dr
Ste A
Clarksville, TN 37043
Phone (629) 239-4687

2004 Hayes St
Ste 545
Nashville, TN 37203
Phone (615) 284-7555

Interoperability endpoints

  • Direct secure messaging: laura.iacono.1@33208.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1003020462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 E MAIN ST STE D127",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752587",
            "telephone_number": "615-854-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 HAYES ST STE 545",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032655",
            "telephone_number": "629-401-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IACONO",
        "first_name": "LAURA",
        "middle_name": "LYNN",
        "credential": "RD CDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "IL",
            "license": "834048",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NY",
            "license": "001919",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "3950",
            "primary": true
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NY",
            "license": "001919",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.