Brandy Goble, MS, MBA, RD, LDN
Individual provider Active NPI Registered Dietitian · Gray, TN
NPI 1184468209 · NPPES record last updated Jun 24, 2024
Key facts
- NPI
- 1184468209
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- Practice address
- 237 Old Stage Rd
Gray, TN 37615-3822 - Phone
- (423) 416-2701
- NPI assigned
- Jun 24, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Business Administration, Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Yes |
Addresses
Primary practice location
237 Old Stage Rd
Gray, TN 37615-3822
Mailing address
237 Old Stage Rd
Gray, TN 37615-3822
Other providers in Gray, TN
- Frontier Health
- Frontier Health
- Leigh A Furman
- Genesis Family Healthcare PLLC
- Joshua Gibson
- Bryon K Grant
- Gray Family Clinic PLC
- Gray Family Healthcare PC
- Gray Medical Investors, LLC
- Gray Pharmacy
All providers in Gray, TN · Registered Dietitian in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.