Individual provider Active NPI

Caroline Crow Pullen, RD

  • Registered Dietitian
  • Nashville, TN
National Provider Identifier
1447528815
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2436 Issued in TN
Practice address
2200 21St Ave S Ste 252
Nashville, TN 37212-4965
Phone
(205) 907-3600
Fax
(615) 988-0017
NPI assigned
Dec 13, 2011
Sex
Female
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2436 TN 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
I20220405001024 TN Practitioner - Registered Dietitian Or Nutrition Professional 6305003724 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2436TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Caroline Pullen Nutrition Dietitian, Registered CurrentSince Mar 23, 2022 Accepting new patients

Locations

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1447528815",
    "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": {
        "last_name": "PULLEN",
        "first_name": "CAROLINE",
        "middle_name": "CROW",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-13",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "2436",
            "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.