Diane Hoffnagle Coggin, M.S.,R.D.,L.D.N.

Individual provider Active NPI Registered Dietitian · Pulaski, TN

NPI 1013138627 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1013138627
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
LDN0000000228 (TN)
Practice address
209 Cedar Lane
Pulaski, TN 38478
Phone
(931) 363-5506
Fax
(931) 424-7020
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LDN0000000228TNMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LDN0000000228 TN Yes

Addresses

Primary practice location

209 Cedar Lane
Pulaski, TN 38478

Mailing address

209 Cedar Lane
Pulaski, TN 38478
Phone (931) 363-5506

Other providers in Pulaski, TN

All providers in Pulaski, TN · Registered Dietitian in Tennessee

Sources for this page

Verify at the official NPI Registry.