NPIMap

Organization Active NPI

Radiant Nutrition, LLC

  • Registered Dietitian
  • Knoxville, TN
National Provider Identifier
1083207971
Registry record updated Mar 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
RADIANT NUTRITION, LLC
Practice address
705 Gate LN Ste 202
Knoxville, TN 37909-3521
Phone
(865) 585-2677
NPI assigned
Feb 11, 2021
Last updated
Mar 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2021

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

Authorized official

Name
Peggy Pratt, PHD, RDN, LDNNPI 1801270319
Title
Sole Member
Phone
(865) 585-2677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU Primary

Addresses

Primary practice location

705 Gate LN Ste 202
Knoxville, TN 37909-3521

Mailing address

11111 Oak Hollow Rd
Knoxville, TN 37932-1924
Phone (865) 585-2677

Other identifiers 1

IdentifierTypeStateIssuer
1801270319OtherTNNPI

Other names 1

  • Radiant Nutrition Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL peggy-pratt.clientsecure.me Other

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616803200000",
    "number": "1083207971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11111 OAK HOLLOW RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379321924",
            "telephone_number": "865-585-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 GATE LN STE 202",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379093521",
            "telephone_number": "865-585-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-03-27",
        "certification_date": "2021-03-27",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "865-585-2677",
        "authorized_official_credential": "PHD, RDN, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1801270319",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "peggy-pratt.clientsecure.me",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "secure portal",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure portal",
            "address_1": "705 Gate Ln Ste 202",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379093521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Radiant Nutrition",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 27, 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.