Organization Active NPI

Memphis Nutrition LLC

  • Registered Dietitian
  • Bartlett, TN
National Provider Identifier
1467820316
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
0000000040 Issued in TN
Legal business name
MEMPHIS NUTRITION LLC
Practice address
6252 E Stage PLZ
Bartlett, TN 38134-3704
Phone
(901) 219-0816
NPI assigned
Sep 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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

Authorized official

Name
Elizabeth Smith
Title
Member/Owner
Phone
(901) 219-0816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 0000000040 TN Primary

Addresses

Primary practice location

6252 E Stage PLZ
Bartlett, TN 38134-3704

Mailing address

6252 E Stage PLZ
Bartlett, TN 38134-3704
Phone (901) 219-0816

National Provider Directory

National Provider Directory

Locations

6252 E Stage Plz
Bartlett, TN 38134
Phone (901) 219-0816

NPI Registry JSON

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1467820316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6252 E STAGE PLZ",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343704",
            "telephone_number": "901-219-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6252 E STAGE PLZ",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343704",
            "telephone_number": "901-219-0816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMPHIS NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "901-219-0816"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "0000000040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.