Lisa Duncan Davis, MS RD LDN CNSC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LDN0000001530 Issued in TN

Practice address

217 Harr Town Rd
Blountville, TN 37617-3830

Phone

(423) 863-4735

NPI assigned

Jan 29, 2018

Last updated

Jan 29, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517184000000",
    "number": "1194223727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 HARR TOWN RD",
            "city": "BLOUNTVILLE",
            "state": "TN",
            "postal_code": "376173830",
            "telephone_number": "423-863-4735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 HARR TOWN RD",
            "city": "BLOUNTVILLE",
            "state": "TN",
            "postal_code": "376173830",
            "telephone_number": "423-863-4735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LISA",
        "middle_name": "DUNCAN",
        "name_prefix": "Mrs.",
        "credential": "MS RD LDN CNSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "LDN0000001530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Sullivan (Sullivan County Health Department)
• County of Sullivan (Sullivan County Health Department)
• Courtney Cox, OTR/L
• Christy Crawford, PT
• Brittany Cheyenne Davenport, BSDH, RDH
• Mildred Elaine Denton, LMSW- TN, LCSW- VA
• Tammy Sue Denton, REGISTERED NURSE
• Director of Schools - Sullivan County
• Dr. G. Andrew Agett, DDS, PC
• DRBG PLLC (Oak Crest Dental)

• Registered Dietitian in Blountville, TN
• Providers in Blountville, TN by specialty
• Registered Dietitian in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; 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.