Active NPI
Dietitian Group, LLC
- Registered Dietitian
- Nashville, TN
National Provider Identifier
1447965637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- DIETITIAN GROUP, LLC
- Practice address
- 615 Main St Ste M1
Nashville, TN 37206-3603 - Phone
- (615) 709-0903
- Fax
- (855) 634-2216
- NPI assigned
- Jan 23, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marisa Woodall Smith, MDA, RD, LDN, CDCES
- Title
- Registered Dietitian
- Phone
- (615) 709-0903
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
615 Main St Ste M1
Nashville, TN 37206-3603
Mailing address
615 Main St Ste M1
Nashville, TN 37206-3603
Phone (615) 709-0903
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
615 Main St
Ste M1
Nashville, TN 37206
Phone (615) 709-0903
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Bowling Green, KY
- NPI 1730874264
Dietitian, Registered, TN
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722384000000",
"number": "1447965637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 MAIN ST STE M1",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372063603",
"telephone_number": "615-709-0903",
"fax_number": "855-634-2216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 MAIN ST STE M1",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372063603",
"telephone_number": "615-709-0903",
"fax_number": "855-634-2216"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIETITIAN GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-23",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "MARISA",
"authorized_official_middle_name": "WOODALL",
"authorized_official_title_or_position": "REGISTERED DIETITIAN",
"authorized_official_telephone_number": "615-709-0903",
"authorized_official_credential": "MDA, RD, LDN, CDCES"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"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 Jul 31, 2024; 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.