Organization Active NPI

Caroline Pullen Nutrition

  • Registered Dietitian
  • Nashville, TN
National Provider Identifier
1437808615
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
CAROLINE PULLEN NUTRITION
Practice address
2200 21St Ave S Ste 252
Nashville, TN 37212-4965
Phone
(205) 907-3600
Fax
(615) 988-0017
NPI assigned
Mar 23, 2022
Last updated
Mar 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Authorized official

Name
Mrs. Caroline Crow Pullen, RDNPI 1447528815
Title
Owner
Phone
(205) 907-3600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU Primary

Addresses

Primary practice location

2200 21St Ave S Ste 252
Nashville, TN 37212-4965

Mailing address

107 Glendale Garden Dr
Nashville, TN 37204-4142
Phone (205) 907-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220405000873 TN Part B Supplier - Clinic/Group Practice 9436545282 Receives reassigned benefits from 1 practitioner
Practice locations: Nashville, TN

National Provider Directory

National Provider Directory

Locations

2200 21st Ave S
Ste 252
Nashville, TN 37212
Phone (205) 907-3600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1437808615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 GLENDALE GARDEN DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372044142",
            "telephone_number": "205-907-3600",
            "fax_number": "615-988-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 21ST AVE S STE 252",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124965",
            "telephone_number": "205-907-3600",
            "fax_number": "615-988-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINE PULLEN NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "PULLEN",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "CROW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-907-3600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.