Active NPI
Stella A Hixson, M.ED., RD, LDN
- Registered Dietitian
- McMinnville, TN
National Provider Identifier
1295207116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LDN0000000496
- Practice address
- 1014 S Chancery St
McMinnville, TN 37110-3704 - Phone
- (931) 474-7705
- NPI assigned
- Dec 18, 2018
- 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 | LDN0000000496 | TN | Primary |
Addresses
Primary practice location
1014 S Chancery St
McMinnville, TN 37110-3704
Mailing address
2322 Floraton Rd
Readyville, TN 37149-4615
Phone (615) 890-3609
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)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LDN0000000496 | TN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545091200000",
"number": "1295207116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2322 FLORATON RD",
"city": "READYVILLE",
"state": "TN",
"postal_code": "371494615",
"telephone_number": "615-890-3609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1014 S CHANCERY ST",
"city": "MCMINNVILLE",
"state": "TN",
"postal_code": "371103704",
"telephone_number": "931-474-7705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIXSON",
"first_name": "STELLA",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "M.ED., RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-18",
"last_updated": "2018-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TN",
"license": "LDN0000000496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McMinnville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.