Active NPI
Kecia Beth McConville, R.D., L.D.N., M.P.H.
- Metabolic Nutrition Registered Dietitian
- Knoxville, TN
National Provider Identifier
1407974132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Metabolic Nutrition Registered Dietitian
- License
- 1717
- Practice address
- 220 Fort Sanders West Blvd
Mob 2, Suite 205
Knoxville, TN 37922-3398 - Phone
- (865) 531-5590
- Fax
- (865) 531-5596
- NPI assigned
- Mar 27, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 1717 | TN | Primary |
Addresses
Primary practice location
220 Fort Sanders West Blvd
Mob 2, Suite 205
Knoxville, TN 37922-3398
Mailing address
220 Fort Sanders West Blvd
Mob 2, Suite 205
Knoxville, TN 37922
Phone (865) 531-5590
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1717 | TN | MD | Mental Health Counselor |
| 1710 | LA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Sanders Regional Medical Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1942294814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407974132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 FORT SANDERS WEST BLVD",
"address_2": "MOB 2, SUITE 205",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37922",
"telephone_number": "865-531-5590",
"fax_number": "865-531-5596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 FORT SANDERS WEST BLVD",
"address_2": "MOB 2, SUITE 205",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379223398",
"telephone_number": "865-531-5590",
"fax_number": "865-531-5596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCONVILLE",
"first_name": "KECIA",
"middle_name": "BETH",
"name_prefix": "Mrs.",
"credential": "R.D., L.D.N., M.P.H.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "TN",
"license": "1717",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.