Andrea Katherine Carpenter, MS, RD, CSP, LD, CBS
Individual provider Active NPI Pediatric Nutrition Registered Dietitian · Signal Mountain, TN
NPI 1396562344 · NPPES record last updated Oct 22, 2024
Key facts
- NPI
- 1396562344
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nutrition Registered Dietitian 133VN1004X
- License
- 4415 (TN)
- Practice address
- 396 Timberlinks Dr
Signal Mountain, TN 37377-1945 - Phone
- (334) 740-4500
- NPI assigned
- Sep 23, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Nicu Dietitian LLC | Nutrition, Pediatric | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 4415 | TN | |
| Pediatric Critical Care Nutrition Registered Dietitian | 133VN1401X | 4415 | TN | |
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 4415 | TN | Yes |
Addresses
Primary practice location
396 Timberlinks Dr
Signal Mountain, TN 37377-1945
Mailing address
396 Timberlinks Dr
Signal Mountain, TN 37377-1945
Phone (334) 740-4500
Other providers in Signal Mountain, TN
- Christopher Dean Bryant
- Elizabeth Buchly Burton
- Christopher Kyle Butler
- Melanie Dawn Calvarese
- Tabitha Samara Cantrell
- Lauren Cattell
- Jordan Danyelle Chadwick
- Chris Bearden
- Lucy Clark
- Nicole Clark
All providers in Signal Mountain, TN · Pediatric Nutrition Registered Dietitian in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.