Organization Active NPI

Andrea Kendrick, Rd, LLC

  • Registered Dietitian
  • Knoxville, TN
National Provider Identifier
1316428659
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LDN0000002331 Issued in TN
Legal business name
ANDREA KENDRICK, RD, LLC
Practice address
407 N Forest Park Blvd
Knoxville, TN 37919-5136
Phone
(865) 344-0949
NPI assigned
Aug 24, 2018
Last updated
Sep 11, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

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

Authorized official

Name
Andrea Kendrick, RDNPI 1285975953
Title
Registered Dietitian /Owner
Phone
(865) 474-0211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LDN0000002331 TN Primary

Addresses

Primary practice location

407 N Forest Park Blvd
Knoxville, TN 37919-5136

Mailing address

1319 Pershing Hill LN
Knoxville, TN 37919-0701

Other practice location 1

101 Westwood Rd # 109
Knoxville, TN 37919-4146
Phone (865) 344-0949

National Provider Directory

National Provider Directory

Locations

101 Westwood Rd
#109
Knoxville, TN 37919
Phone (865) 344-0949

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536624000000",
    "number": "1316428659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 PERSHING HILL LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379190701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N FOREST PARK BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195136",
            "telephone_number": "865-344-0949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Westwood Rd # 109",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379194146",
            "country_code": "US",
            "telephone_number": "865-344-0949",
            "fax_number": "865-221-8087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANDREA KENDRICK, RD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-24",
        "last_updated": "2018-09-11",
        "status": "A",
        "authorized_official_last_name": "KENDRICK",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN /OWNER",
        "authorized_official_telephone_number": "865-474-0211",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "LDN0000002331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.