Kara Andrew, RD, LDN, EP-C
Individual provider Active NPI Registered Dietitian · Brentwood, TN
NPI 1417309352 · NPPES record last updated Jul 4, 2016
Key facts
- NPI
- 1417309352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- LDN0000002947 (TN)
- Practice address
- 6700 Walnut Hills Dr
Brentwood, TN 37027-7801 - Phone
- (615) 525-0111
- NPI assigned
- Jul 4, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220408002371 | IL | Practitioner - Registered Dietitian Or Nutrition Professional | 9335535806 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LDN0000002947 | TN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital Association | Current | Accepting new patients |
Locations
1454 N County Road 2050 E
Carthage, IL 62321
Phone (217) 357-3131
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LDN0000002947 | TN | Yes |
Addresses
Primary practice location
6700 Walnut Hills Dr
Brentwood, TN 37027-7801
Mailing address
6700 Walnut Hills Dr
Brentwood, TN 37027-7801
Phone (615) 525-0111
Other providers in Brentwood, TN
- Jami Anderson
- Joanna Anderson
- Richard Nolon Anderson
- Sarah Anderson
- Skylar Anderson
- Angel Access Therapy, LLC
- Cosimo Eduardo Angelini Sr.
- Hafizur Rahman Anik
- Fredrick Azubike Anikwe
- Another Way Medical Services, PA
All providers in Brentwood, TN · 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 Jul 4, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.