Active NPI
Perrin Leanne Tamblyn, MS, RD, LDN
- Registered Dietitian
- Mobile, AL
National Provider Identifier
1689069551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2525
- Practice address
- 55 Midtown Park E
Mobile, AL 36606-4141 - Phone
- (251) 281-2094
- NPI assigned
- Mar 30, 2015
- Sex
- Female
- 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 | 2525 | AL | Primary |
Addresses
Primary practice location
55 Midtown Park E
Mobile, AL 36606-4141
Mailing address
2129 Dorchester Dr
Mobile, AL 36695-2920
Phone (251) 689-2287
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2525 | AL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 4TDD.Com, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427673600000",
"number": "1689069551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2129 DORCHESTER DR",
"city": "MOBILE",
"state": "AL",
"postal_code": "366952920",
"telephone_number": "251-689-2287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 MIDTOWN PARK E",
"city": "MOBILE",
"state": "AL",
"postal_code": "366064141",
"telephone_number": "251-281-2094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAMBLYN",
"first_name": "PERRIN",
"middle_name": "LEANNE",
"name_prefix": "Miss",
"credential": "MS, RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-30",
"last_updated": "2015-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AL",
"license": "2525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.