Organization Active NPI

DBLK Sports & Wellness Management

  • Registered Dietitian
  • Knoxville, TN
National Provider Identifier
1700763372
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
DBLK SPORTS & WELLNESS MANAGEMENT
Practice address
1501 Kirby Rd
Knoxville, TN 37909-2854
Phone
(865) 272-9718
NPI assigned
Aug 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Authorized official

Name
Andrea Kendrick, RDNPI 1285975953
Title
Employee
Phone
(865) 474-0211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

1501 Kirby Rd
Knoxville, TN 37909-2854

Mailing address

8208 Nubbin Ridge Dr
Knoxville, TN 37919-8476
Phone (865) 474-0211

National Provider Directory

National Provider Directory

Locations

1501 Kirby Rd
Knoxville, TN 37909
Phone (865) 309-5848

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1700763372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8208 NUBBIN RIDGE DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379198476",
            "telephone_number": "865-474-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 KIRBY RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092854",
            "telephone_number": "865-272-9718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DBLK SPORTS & WELLNESS MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-18",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "KENDRICK",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "865-474-0211",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 12, 2026; 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.