Individual provider Active NPI

Ada Pearl Knight, PHD, RD, LN

  • Registered Dietitian
  • Nashville, TN
National Provider Identifier
1699864769
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
521055 Issued in TN
Practice address
1916 Patterson St
Suite 505
Nashville, TN 37203-2120
Phone
(615) 297-1982
Fax
(615) 272-1712
NPI assigned
Oct 12, 2006
Last updated
Dec 9, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X LN0000001012 TN
Registered Dietitian 133V00000X 521055 TN Primary

Addresses

Primary practice location

1916 Patterson St
Suite 505
Nashville, TN 37203-2120

Mailing address

1916 Patterson St
Suite 505
Nashville, TN 37203-2120
Phone (615) 297-1982

Other identifiers 1

IdentifierTypeStateIssuer
1512102MedicaidTN

Other names 1

  • Ms. Ada Roberson Knight Other 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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LN0000001012TNMDNutritionist
521055TNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Meharry Medical College Current Accepting new patients
Prohealth Rural Health Services, Inc Past Accepting new patients
Prohealth Rural Health Services, Inc Past Accepting new patients

Locations

1005 Dr Db Todd Jr Blvd
Nashville, TN 37208
Phone (615) 327-6000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418083200000",
    "number": "1699864769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 PATTERSON ST",
            "address_2": "SUITE 505",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032120",
            "telephone_number": "615-297-1982",
            "fax_number": "615-272-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 PATTERSON ST",
            "address_2": "SUITE 505",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032120",
            "telephone_number": "615-297-1982",
            "fax_number": "615-272-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "ADA",
        "middle_name": "PEARL",
        "name_prefix": "Ms.",
        "credential": "PHD, RD, LN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2014-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "TN",
            "license": "LN0000001012",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "521055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1512102",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADA",
            "last_name": "KNIGHT",
            "middle_name": "ROBERSON",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.