Active NPI
Mary Pate-Bennett, M.S., R.D., C.L.C.
- Registered Dietitian
- Sewanee, TN
National Provider Identifier
1154865301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3154
- Practice address
- 1310 University Ave
Sewanee, TN 37375-2336 - Phone
- (931) 636-8669
- NPI assigned
- Dec 7, 2016
- 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 | 3154 | TN | Primary |
Addresses
Primary practice location
1310 University Ave
Sewanee, TN 37375-2336
Mailing address
692 Hat Rock Rd
Sewanee, TN 37375-2149
Phone (931) 636-8669
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2019 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481068800000",
"number": "1154865301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "692 HAT ROCK RD",
"city": "SEWANEE",
"state": "TN",
"postal_code": "373752149",
"telephone_number": "931-636-8669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 UNIVERSITY AVE",
"city": "SEWANEE",
"state": "TN",
"postal_code": "373752336",
"telephone_number": "931-636-8669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATE-BENNETT",
"first_name": "MARY",
"credential": "M.S., R.D., C.L.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-07",
"last_updated": "2016-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TN",
"license": "3154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sewanee, TN
- Maryellen McCone, LPC/MHSP
- Robin Hille Michaels, MA, LPC/MHSP
- Brooke Shoemaker Moody, CRNP
- Mountain Mobile Massage LLC
- Nicole Aimee Noffsinger-Frazier, PH.D.
- Matthew J Petrilla, DO
- Robin Allison Reed-Spaulding, PHD
- Gerre L Schwert, LCSW
- Devon Forbes Frances Serrano, MS, ATC
- Sewanee Family Practice PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.