Active NPI
Jerri Renee Cassada, RD, LDN, CDE
- Registered Dietitian
- Nashville, TN
National Provider Identifier
1144201310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LDN1444
- Practice address
- 1310 24TH Ave S
Nashville, TN 37212-2637 - Phone
- (615) 873-7204
- NPI assigned
- Nov 7, 2005
- Sex
- Female
- Sole proprietor
- No
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 | LDN1444 | TN | Primary |
Addresses
Primary practice location
1310 24TH Ave S
Nashville, TN 37212-2637
Mailing address
114 Trail Ridge Way
Hendersonville, TN 37075-2189
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LDN1444 | Other | TN | LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LDN1444 | TN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MNT, Inc. | Dietitian, Registered | Current | Accepting new patients |
| Saint Thomas Medical Partners | Past | Accepting new patients |
Locations
730 Fairview Ave
Ste B1
Bowling Green, KY 42101
Phone (270) 781-3321
1994 Gallatin Pike N
Ste 30
Madison, TN 37115
1994 Gallatin Pike N
Ste 300
Madison, TN 37115
Phone (615) 856-1478
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Nashville, TN
- NPI 1437194669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1144201310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 TRAIL RIDGE WAY",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370752189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 24TH AVE S",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372122637",
"telephone_number": "615-873-7204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSADA",
"first_name": "JERRI",
"middle_name": "RENEE",
"name_prefix": "Ms.",
"credential": "RD, LDN, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-07",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TN",
"license": "LDN1444",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "LDN1444",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.