Individual provider Active NPI

Jennifer Lee Holmes, RD, RN.

  • Registered Dietitian
  • Murfreesboro, TN
National Provider Identifier
1366270217
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86010405 Issued in TN
Practice address
3755 Asbury LN
Murfreesboro, TN 37129-3141
Phone
(615) 293-1728
NPI assigned
Jul 23, 2024
Last updated
Jul 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86010405 TN Primary
Renal Nutrition Registered Dietitian 133VN1005X NU
Metabolic Nutrition Registered Dietitian 133VN1006X NU
Registered Nurse 163W00000X 235402 TN
Gerontological Nutrition Registered Dietitian 133VN1101X NU
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X NU
Oncology Nutrition Registered Dietitian 133VN1301X NU
Sports Dietetics Nutrition Registered Dietitian 133VN1501X NU

Addresses

Primary practice location

3755 Asbury LN
Murfreesboro, TN 37129-3141

Mailing address

3755 Asbury LN
Murfreesboro, TN 37129-3141
Phone (615) 293-1728

Other practice location 1

300 Stonecrest Blvd Ste 330
Smyrna, TN 37167-6801
Phone (615) 982-0332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260221000980 TN Practitioner - Registered Dietitian Or Nutrition Professional 5890276489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3024 Business Park Cir
Goodlettsville, TN 37072-3132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
86010405TNMDRegistered Dietitian
235402TNMDRegistered Nurse
5468TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC CurrentSince Feb 1, 2026 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Feb 1, 2026 Accepting new patients
Marley Nutrition and Fitness Dietitian, Registered Past Accepting new patients

Locations

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

300 Stonecrest Blvd
Ste 330
Smyrna, TN 37167
Phone (615) 223-9233

819 Medical Park
Smyrna, TN 37167
Phone (615) 761-9200

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1366270217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 ASBURY LN",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371293141",
            "telephone_number": "615-293-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 ASBURY LN",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371293141",
            "telephone_number": "615-293-1728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Stonecrest Blvd Ste 330",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "TN",
            "postal_code": "371676801",
            "country_code": "US",
            "telephone_number": "615-982-0332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "RD, RN.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "86010405",
            "primary": true
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "235402",
            "primary": false
        },
        {
            "code": "133VN1101X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Gerontological",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1301X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1501X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.