Betsy Bohannon, MS, RD, CDE, BC-ADM

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

License

LDN0000000010 Issued in TN

Practice address

1924 Alcoa Hwy
Department of Family Medicine , U-67
Knoxville, TN 37920-1511

Phone

(865) 305-9352

NPI assigned

Sep 12, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1407138878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 ALCOA HWY",
            "address_2": "DEPARTMENT OF FAMILY MEDICINE , U-67",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201511",
            "telephone_number": "865-305-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 ALCOA HWY",
            "address_2": "DEPARTMENT OF FAMILY MEDICINE , U-67",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201511",
            "telephone_number": "865-305-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHANNON",
        "first_name": "BETSY",
        "credential": "MS, RD, CDE, BC-ADM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-12",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "TN",
            "license": "LDN0000000010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Bogosian, NP
• Meredith Bogott
• Allison Boguskie
• John David Bohacek
• Blake Logan Bohanan, PT, DPT
• Samantha Bohling
• Austin Bohn, RBT
• Shannon Bohnenberger, FNP-C
• Jacqualyn Danielle Boivin
• Kamran Boka, MD

• Metabolic Nutrition Registered Dietitian in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Metabolic Nutrition Registered Dietitian in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.