Olivia Clements, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

361 Charles Russell Rd
Red Boiling Springs, TN 37150-6246

Phone

(931) 787-3710

NPI assigned

Feb 23, 2021

Sex

Female

Sole proprietor

Yes

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.

• Marjorie Nolan Cohn LLC

  • Registered Dietitian
  • New York, NY
  • NPI 1760825160

  Dietitian, Registered

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 23, 2021.

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1003400862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 CHARLES RUSSELL RD",
            "city": "RED BOILING SPRINGS",
            "state": "TN",
            "postal_code": "371506246",
            "telephone_number": "931-787-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 CHARLES RUSSELL RD",
            "city": "RED BOILING SPRINGS",
            "state": "TN",
            "postal_code": "371506246",
            "telephone_number": "931-787-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "OLIVIA",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bray Family Health and Wellness, LLC
• Shalena Natasha Bray, FNP-C
• Megan Ashley Brown, M.S., CF-SLP
• Holly Elaine Carter
• Regina S Cassetty
• Glenis O Dodds-Mills, RDN
• Brittany Dozier
• Frank T Rutherford Memorial Hospital, Inc
• Jennifer Renae Guffey
• Clifton Lee Hackett, A.A.S.

• All providers in Red Boiling Springs, TN
• Registered Dietitian in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.