Organization Active NPI

Dynamic Dietetics

  • Registered Dietitian
  • Ooltewah, TN
National Provider Identifier
1427213248
Registry record updated Mar 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LDN0000000983 Issued in TN
Legal business name
DYNAMIC DIETETICS
Practice address
8948 Long Savannah Rd
Ooltewah, TN 37363-5702
Phone
(423) 339-1415
Fax
(423) 339-1715
NPI assigned
Jul 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2009

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

Authorized official

Name
Ms. Dee Ann Harwell, MS,RD,LDN
Title
President
Phone
(423) 339-1415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X LDN0000000983 TN Primary

Addresses

Primary practice location

8948 Long Savannah Rd
Ooltewah, TN 37363-5702

Mailing address

8948 Long Savannah Rd
Ooltewah, TN 37363-5702
Phone (423) 339-1415

National Provider Directory

National Provider Directory

Locations

2555 Georgetown Rd NW
Cleveland, TN 37311
Phone (423) 339-1415

2654 Peerless Rd NW
Cleveland, TN 37312
Phone (423) 473-9922

NPI Registry JSON

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236297600000",
    "number": "1427213248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8948 LONG SAVANNAH RD",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373635702",
            "telephone_number": "423-339-1415",
            "fax_number": "423-339-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8948 LONG SAVANNAH RD",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373635702",
            "telephone_number": "423-339-1415",
            "fax_number": "423-339-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC DIETETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2009-03-06",
        "status": "A",
        "authorized_official_last_name": "HARWELL",
        "authorized_official_first_name": "DEE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-339-1415",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS,RD,LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "LDN0000000983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ooltewah, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; 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.