Alice Chapman, R.D. L.D.N.
Individual provider Active NPI Registered Dietitian · MC Kenzie, TN
NPI 1699705665 · NPPES record last updated Oct 14, 2010
Key facts
- NPI
- 1699705665
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- LDN0000000018 (TN)
- Practice address
- 205 Hospital Dr
Suite a
MC Kenzie, TN 38201-1649 - Phone
- (173) 135-2790
- Fax
- (731) 352-4459
- NPI assigned
- Jul 4, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18 | TN | MD | Assistant Behavior Analyst |
| LDN0000000018 | TN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dietitian Associates, Inc. | Dietitian, Registered | Past | Accepting new patients |
| McKenzie Medical Center | Past | Accepting new patients | |
| McKenzie Medical Center | Past | Accepting new patients | |
| McKenzie Medical Center, PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LDN0000000018 | TN | Yes |
Addresses
Primary practice location
205 Hospital Dr
Suite a
MC Kenzie, TN 38201-1649
Mailing address
205 Hospital Dr
Suite a
MC Kenzie, TN 38201-1649
Phone (173) 135-2790
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3380640 | Other | TN | GROUP MEDICAID |
| 3380640 | Other | TN | GROUP MEDICARE |
| 1519690 | Medicaid | TN |
Other providers in MC Kenzie, TN
- Rustin Forest Cameron
- Elijah Carpenter
- CCC Medical Equipment, Inc.
- Briana Page Chandler
- Philemon D Chang
- Christian Care Center of McKenzie LLC
- Terry Andrew Colotta
- Grace Cooper
- Cornerstone Health Care of McKenzie, Inc.
- Nikki Crosser
All providers in MC Kenzie, TN · Registered Dietitian in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.