Individual provider Active NPI

Peggy Ann Noblett, R.D.

  • Nutritionist
  • Chattanooga, TN
National Provider Identifier
1134475908
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
LDN0000000165 Issued in TN
Practice address
425 Cumberland St
Chattanooga, TN 37404-1909
Phone
(423) 698-0802
NPI assigned
Jul 31, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X LDN0000000165 TN Primary
Registered Dietitian 133V00000X 589241 TN

Addresses

Primary practice location

425 Cumberland St
Chattanooga, TN 37404-1909

Mailing address

425 Cumberland St
Chattanooga, TN 37404-1909
Phone (423) 698-0802

Other identifiers 2

IdentifierTypeStateIssuer
LDN0000000165OtherTNLICENSED DIETITIAN/NUTRITIONIST
589241OtherTNREGISTERED DIETITIAN

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
LDN0000000165TNMDNutritionist
589241TNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Alexian Brothers Community Services Past Accepting new patients

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": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1134475908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 CUMBERLAND ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041909",
            "telephone_number": "423-698-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 CUMBERLAND ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041909",
            "telephone_number": "423-698-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBLETT",
        "first_name": "PEGGY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "TN",
            "license": "LDN0000000165",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "589241",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED DIETITIAN/NUTRITIONIST",
            "identifier": "LDN0000000165",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED DIETITIAN",
            "identifier": "589241",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.