Judith Janell Pendergrass, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

0000001143 Issued in TN

Practice address

607 Medical Arts Building
1211 21St Avenue, South
Nashville, TN 37232-1320

Phone

(615) 936-3952

NPI assigned

Dec 26, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Judith Janell Gentry Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1388016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388016000000",
    "number": "1710308382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 IDAHO AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372093621",
            "telephone_number": "615-298-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 MEDICAL ARTS BUILDING",
            "address_2": "1211 21ST AVENUE, SOUTH",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372321320",
            "telephone_number": "615-936-3952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDERGRASS",
        "first_name": "JUDITH",
        "middle_name": "JANELL",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-26",
        "last_updated": "2013-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "0000001143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "GENTRY",
            "middle_name": "JANELL",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Yaneris Pena, NP
• Mary Ann Pence, APN RN
• Mitchel Pendergast
• Sarah Ann Pendergraft
• Elizabeth Michele Pendergrass, PHARMD
• Katia X Pendergrass, NP
• Jennifer Pendergrast, APN-BC
• Alexis Pendley, APN
• John Pendy Jr.
• Evan Michael Pendygraft, OTD, OTR/L

• Registered Dietitian in Nashville, TN
• Providers in Nashville, TN by specialty
• Registered Dietitian in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; 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.