Lisa Duncan Davis, MS RD LDN CNSC
Individual provider Active NPI Registered Dietitian · Blountville, TN
NPI 1194223727 · NPPES record last updated Jan 29, 2018
Key facts
- NPI
- 1194223727
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- LDN0000001530 (TN)
- Practice address
- 217 Harr Town Rd
Blountville, TN 37617-3830 - Phone
- (423) 863-4735
- NPI assigned
- Jan 29, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LDN0000001530 | TN | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LDN0000001530 | TN | Yes |
Addresses
Primary practice location
217 Harr Town Rd
Blountville, TN 37617-3830
Mailing address
217 Harr Town Rd
Blountville, TN 37617-3830
Phone (423) 863-4735
Other providers in Blountville, TN
- County of Sullivan
- County of Sullivan
- Courtney Cox
- Christy Crawford
- Brittany Cheyenne Davenport
- Mildred Elaine Denton
- Tammy Sue Denton
- Director of Schools - Sullivan County
- Dr. G. Andrew Agett, DDS, PC
- DRBG PLLC
All providers in Blountville, 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 Jan 29, 2018. 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.