Active NPI
Greta Jernigan
- Registered Dietitian
- Knoxville, TN
National Provider Identifier
1659248052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 720707
- Practice address
- 1605 Dunwoody Blvd
Knoxville, TN 37919-8740 - Phone
- (865) 300-8193
- NPI assigned
- Oct 20, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 720707 | TN | Primary |
Addresses
Primary practice location
1605 Dunwoody Blvd
Knoxville, TN 37919-8740
Mailing address
1605 Dunwoody Blvd
Knoxville, TN 37919-8740
Phone (865) 300-8193
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 512 | Other | TN | LICENSURE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 720707 | TN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760918400000",
"number": "1659248052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 DUNWOODY BLVD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379198740",
"telephone_number": "865-300-8193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 DUNWOODY BLVD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379198740",
"telephone_number": "865-300-8193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JERNIGAN",
"first_name": "GRETA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-20",
"last_updated": "2025-10-20",
"certification_date": "2025-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "TN",
"license": "720707",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSURE",
"identifier": "512",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}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 Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.