Active NPI
Allison Ann Fedoris, RDN, MS, LDN
- Registered Dietitian
- Nashville, TN
National Provider Identifier
1477198653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3692
- Practice address
- 2424 21St Ave S
Nashville, TN 37212-5315 - Phone
- (615) 861-9146
- NPI assigned
- Nov 12, 2019
- 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 | 3692 | TN | Primary |
Addresses
Primary practice location
2424 21St Ave S
Nashville, TN 37212-5315
Mailing address
4848 Bevendean Dr Unit D9
Nashville, TN 37211-6691
Phone (319) 572-5262
Other practice location 1
1211 21st Ave. S.
607 Medical Arts Building
Nashville, TN 37212-2717
Phone (615) 936-3952
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3692 | TN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iris Nutrition Group | Dietitian, Registered | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646784000000",
"number": "1477198653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4848 BEVENDEAN DR UNIT D9",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372116691",
"telephone_number": "319-572-5262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2424 21ST AVE S",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372125315",
"telephone_number": "615-861-9146"
}
],
"practiceLocations": [
{
"address_1": "1211 21st Ave. S.",
"address_2": "607 Medical Arts Building",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372122717",
"country_code": "US",
"telephone_number": "615-936-3952",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FEDORIS",
"first_name": "ALLISON",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "RDN, MS, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-12",
"last_updated": "2022-03-09",
"certification_date": "2022-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TN",
"license": "3692",
"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 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.