Active NPI
Nathan Strickland, R.D.
- Registered Dietitian
- Bolivar, TN
National Provider Identifier
1003181819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2411
- Practice address
- 650 Nuckolls Rd
Bolivar, TN 38008-1532 - Phone
- (731) 659-0294
- NPI assigned
- Mar 12, 2012
- Last updated
- Mar 12, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2411 | TN | Primary |
Addresses
Primary practice location
650 Nuckolls Rd
Bolivar, TN 38008-1532
Mailing address
126 Maple St
Jackson, TN 38301-5285
Phone (731) 444-3937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2411 | TN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331510400000",
"number": "1003181819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 MAPLE ST",
"city": "JACKSON",
"state": "TN",
"postal_code": "383015285",
"telephone_number": "731-444-3937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 NUCKOLLS RD",
"city": "BOLIVAR",
"state": "TN",
"postal_code": "380081532",
"telephone_number": "731-659-0294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRICKLAND",
"first_name": "NATHAN",
"name_prefix": "Mr.",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-12",
"last_updated": "2012-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TN",
"license": "2411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bolivar, TN
- Alicia Danielle Stanley
- Star Physical Therapy LP
- State of Tennessee (Hardeman County Health Department)
- State of Tennessee-Western Mental Health Institute
- Jessica Stephenson
- Candice D Taylor, RN
- Yulando A Taylor, RN
- Kristie M Teague, RN
- Judith Anne Tessema
- The Hatchie Pharmacy LLC (Hatchie Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.