Active NPI
David Fox Talley, RD
- Registered Dietitian
- Kingsport, TN
National Provider Identifier
1518105683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2064
- Practice address
- 105 W Stone Dr
Ste 2D
Kingsport, TN 37660-3256 - Phone
- (423) 578-1588
- NPI assigned
- Jan 28, 2009
- Sex
- Male
- 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 | 2064 | TN | Primary |
Addresses
Primary practice location
105 W Stone Dr
Ste 2D
Kingsport, TN 37660-3256
Mailing address
PO Box 9
Kingsport, TN 37662-0009
Phone (423) 857-2066
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 |
|---|---|---|---|
| 2064 | TN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253664000000",
"number": "1518105683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376620009",
"telephone_number": "423-857-2066",
"fax_number": "423-857-2030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 W STONE DR",
"address_2": "STE 2D",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376603256",
"telephone_number": "423-578-1588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALLEY",
"first_name": "DAVID",
"middle_name": "FOX",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-28",
"last_updated": "2009-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TN",
"license": "2064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.