Active NPI
Ashton Nicole Daniel
- Registered Dietitian
- Rocky Top, TN
National Provider Identifier
1356079792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 4563
- Practice address
- 239 Foster Rd
Rocky Top, TN 37769-5559 - Phone
- (423) 319-7763
- NPI assigned
- Aug 12, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 4563 | TN | Primary |
Addresses
Primary practice location
239 Foster Rd
Rocky Top, TN 37769-5559
Mailing address
694 Deer Lodge Hwy
Sunbright, TN 37872-2910
Phone (423) 319-7763
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4563 | TN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1356079792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "694 DEER LODGE HWY",
"city": "SUNBRIGHT",
"state": "TN",
"postal_code": "378722910",
"telephone_number": "423-319-7763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "239 FOSTER RD",
"city": "ROCKY TOP",
"state": "TN",
"postal_code": "377695559",
"telephone_number": "423-319-7763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIEL",
"first_name": "ASHTON",
"middle_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-12",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "TN",
"license": "4563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rocky Top, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.