Individual provider Active NPI

Mariann Wheeler Butler, MS, RD, LDN

  • Registered Dietitian
  • Knoxville, TN
National Provider Identifier
1619944014
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
KY-1827 Issued in KY
Practice address
8622 Oxford Dr
Knoxville, TN 37922-8022
Phone
(615) 796-9496
NPI assigned
Mar 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X KY-1827 KY Primary

Addresses

Primary practice location

8622 Oxford Dr
Knoxville, TN 37922-8022

Mailing address

8622 Oxford Dr
Knoxville, TN 37922-8022

Other practice location 1

851 Ireland Ave
Fort Knox, KY 40121-2722
Phone (502) 624-9834 ext. 9834

Other names 1

  • Mariann Wheeler Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
KY-1827KYMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1619944014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8622 OXFORD DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379228022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8622 OXFORD DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379228022",
            "telephone_number": "615-796-9496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "851 Ireland Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Knox",
            "state": "KY",
            "postal_code": "401212722",
            "country_code": "US",
            "telephone_number": "502-624-9834 x9834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "MARIANN",
        "middle_name": "WHEELER",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-03",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "KY-1827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIANN",
            "last_name": "WHEELER",
            "credential": "RD, LD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.