Active NPI
Tena D Daniel, RD, LD, CDE
- Registered Dietitian
- Athens, GA
National Provider Identifier
1457554206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 810862
- Practice address
- 2180 Oconee Connector
Ste 105
Athens, GA 30606-5715 - Phone
- (706) 389-0192
- NPI assigned
- Jun 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 810862 | GA | Primary |
Addresses
Primary practice location
2180 Oconee Connector
Ste 105
Athens, GA 30606-5715
Mailing address
65 Douglas Drive
Jefferson, GA 30549
Phone (706) 340-0327
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001469 | GA | MD | Clinical Social Worker |
| 810862 | GA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Orthopedic Associates | Past | Accepting new patients |
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.
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- Salt Lake City, UT
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456185600000",
"number": "1457554206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 DOUGLAS DRIVE",
"city": "JEFFERSON",
"state": "GA",
"postal_code": "30549",
"telephone_number": "706-340-0327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2180 OCONEE CONNECTOR",
"address_2": "STE 105",
"city": "ATHENS",
"state": "GA",
"postal_code": "306065715",
"telephone_number": "706-389-0192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIEL",
"first_name": "TENA",
"middle_name": "D",
"credential": "RD, LD, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-08",
"last_updated": "2016-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "810862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.