Individual provider Active NPI

Morgan Labelle

  • Registered Dietitian
  • Johnson City, TN
National Provider Identifier
1043957111
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
4183 Issued in TN
Practice address
110 Corporate Dr Ste 100
Johnson City, TN 37604-2009
Phone
(423) 530-6556
NPI assigned
May 19, 2022
Last updated
May 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 4183 TN Primary

Addresses

Primary practice location

110 Corporate Dr Ste 100
Johnson City, TN 37604-2009

Mailing address

110 Corporate Dr Ste 100
Johnson City, TN 37604-2009
Phone (423) 530-6556

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220830000741 TN Practitioner - Registered Dietitian Or Nutrition Professional 9032593728 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heal U, LLC Dietitian, Registered CurrentSince Aug 11, 2022 Accepting new patients

Locations

110 Corporate Dr
Ste 100
Johnson City, TN 37604
Phone (423) 283-0323

444 Clinchfield St
Ste 201
Kingsport, TN 37660
Phone (423) 230-2100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1043957111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CORPORATE DR STE 100",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042009",
            "telephone_number": "423-530-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CORPORATE DR STE 100",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042009",
            "telephone_number": "423-530-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABELLE",
        "first_name": "MORGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "4183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.