Organization Active NPI

Dorothea Sarli

  • Registered Dietitian
  • Ooltewah, TN
National Provider Identifier
1295221521
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
3276 Issued in TN
Legal business name
DOROTHEA SARLI
Practice address
5750 Edgmon Rd
Ooltewah, TN 37363-6854
Phone
(423) 902-3008
NPI assigned
Jul 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Authorized official

Name
Dorothea Sarli, RDNPI 1386130821
Title
Owner
Phone
(423) 902-3008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 3276 TN Primary

Addresses

Primary practice location

5750 Edgmon Rd
Ooltewah, TN 37363-6854

Mailing address

PO Box 38
Collegedale, TN 37315-0038

Other identifiers 1

IdentifierTypeStateIssuer
1386130821OtherTNNPI TYPE 1

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563408000000",
    "number": "1295221521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38",
            "city": "COLLEGEDALE",
            "state": "TN",
            "postal_code": "373150038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 EDGMON RD",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636854",
            "telephone_number": "423-902-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOROTHEA SARLI",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-10",
        "last_updated": "2019-07-18",
        "status": "A",
        "authorized_official_last_name": "SARLI",
        "authorized_official_first_name": "DOROTHEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-902-3008",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "3276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1386130821",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ooltewah, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.