Judy Lynn Henderson, MS, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

3444 Coble Rd
Lewisburg, TN 37091-6551

Phone

(615) 712-0918

NPI assigned

Dec 26, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1672012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672012800000",
    "number": "1558074302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3444 COBLE RD",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370916551",
            "telephone_number": "615-712-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3444 COBLE RD",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370916551",
            "telephone_number": "615-712-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "JUDY",
        "middle_name": "LYNN",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-26",
        "last_updated": "2022-12-26",
        "certification_date": "2022-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jim T Harris, D.O.
• Amelia E. Haselden, MMSC, PT
• William Bond Hatcher III
• Rita Marie Hayek
• Ron Allen Hayes, MA
• Karen Marie Hendry, B.S.
• Shelbey Marissa Hicks-Yeiser
• Dorothy Rachel Hicks
• Madelyn Elizabeth Hicks, BCBA
• Kimberly Eastland Hill, PT

• Registered Dietitian in Lewisburg, TN
• Providers in Lewisburg, TN by specialty
• Registered Dietitian in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.