NPIMap

Organization Active NPI

Nutritionally Aok

  • Registered Dietitian
  • Ooltewah, TN
National Provider Identifier
1558007476
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
NUTRITIONALLY AOK
Practice address
6103 Hunter Crest Dr
Ooltewah, TN 37363-6508
Phone
(423) 227-5017
NPI assigned
May 12, 2022
Last updated
May 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Authorized official

Name
Mrs. Amanda Ochsenbein Kirkpatrick, MS, RD, LDN, CLCNPI 1750877833
Title
Private Practice Dietitian
Phone
(423) 227-5017

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

6103 Hunter Crest Dr
Ooltewah, TN 37363-6508

Mailing address

6103 Hunter Crest Dr
Ooltewah, TN 37363-6508
Phone (423) 227-5017

Other identifiers 1

IdentifierTypeStateIssuer
2167OtherTNTENNESSEE DEPARTMENT OF HEALTH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1558007476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6103 HUNTER CREST DR",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636508",
            "telephone_number": "423-227-5017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6103 HUNTER CREST DR",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636508",
            "telephone_number": "423-227-5017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITIONALLY AOK",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "KIRKPATRICK",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "OCHSENBEIN",
        "authorized_official_title_or_position": "PRIVATE PRACTICE DIETITIAN",
        "authorized_official_telephone_number": "423-227-5017",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, RD, LDN, CLC"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNESSEE DEPARTMENT OF HEALTH",
            "identifier": "2167",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ooltewah, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.

Verify at the official NPI Registry.