Active NPI
Kaitlyn Tucker, MS, RDN, LDN
- Registered Dietitian
- Knoxville, TN
National Provider Identifier
1063391183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3687
- Practice address
- 9724 Kingston Pike Ste 107
Knoxville, TN 37922-3387 - Phone
- (865) 219-3474
- NPI assigned
- Sep 2, 2025
- Sex
- Female
- 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 | 3687 | TN | Primary |
Addresses
Primary practice location
9724 Kingston Pike Ste 107
Knoxville, TN 37922-3387
Mailing address
9724 Kingston Pike Ste 107
Knoxville, TN 37922-3387
Phone (865) 474-0910
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3687 | TN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaitlyn Tucker Nutrition | Dietitian, Registered | Current | Accepting new patients |
Locations
9724 Kingston Pike
Ste 107
Knoxville, TN 37922
Phone (865) 219-3474
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": "1756771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760572800000",
"number": "1063391183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9724 KINGSTON PIKE STE 107",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379223387",
"telephone_number": "865-474-0910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9724 KINGSTON PIKE STE 107",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379223387",
"telephone_number": "865-219-3474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "KAITLYN",
"credential": "MS, RDN, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-02",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TN",
"license": "3687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.