Individual provider Active NPI

Evelyn Marie Reilman, R.D.

  • Registered Dietitian
  • Mountain Home, TN
National Provider Identifier
1063433613
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
0000000899 Issued in TN
Practice address
James H. Quillen/Vamc
Corner of Sidney and Lamont (Johnson City)
Mountain Home, TN 37684-4000
Phone
(423) 979-2948
Fax
(423) 979-3402
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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 0000000899 TN Primary

Addresses

Primary practice location

James H. Quillen/Vamc
Corner of Sidney and Lamont (Johnson City)
Mountain Home, TN 37684-4000

Mailing address

PO Box 755
Mountain Home, TN 37684-0755
Phone (423) 979-2948

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

State licenses

LicenseStateTypeSpecialty
0000000899TNMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1063433613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 755",
            "city": "MOUNTAIN HOME",
            "state": "TN",
            "postal_code": "376840755",
            "telephone_number": "423-979-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JAMES H. QUILLEN/VAMC",
            "address_2": "CORNER OF SIDNEY AND LAMONT (JOHNSON CITY)",
            "city": "MOUNTAIN HOME",
            "state": "TN",
            "postal_code": "376844000",
            "telephone_number": "423-979-2948",
            "fax_number": "423-979-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILMAN",
        "first_name": "EVELYN",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "0000000899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.