Active NPI
Wallace Ann Whatley, MS, RDN, LDN
- Registered Dietitian
- Nashville, TN
National Provider Identifier
1720940562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 5328
- Practice address
- 1211 21St Ave S Ste 607
Nashville, TN 37212-2718 - Phone
- (615) 421-1365
- Fax
- (615) 936-3956
- NPI assigned
- Dec 1, 2025
- 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 | 5328 | TN | Primary |
Addresses
Primary practice location
1211 21St Ave S Ste 607
Nashville, TN 37212-2718
Mailing address
1211 21St Ave S Ste 607
Nashville, TN 37212-2718
Phone (615) 421-1365
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5328 | TN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764547200000",
"number": "1720940562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 21ST AVE S STE 607",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372122718",
"telephone_number": "615-421-1365",
"fax_number": "615-936-3956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 21ST AVE S STE 607",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372122718",
"telephone_number": "615-421-1365",
"fax_number": "615-936-3956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHATLEY",
"first_name": "WALLACE",
"middle_name": "ANN",
"credential": "MS, RDN, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-01",
"last_updated": "2025-12-01",
"certification_date": "2025-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TN",
"license": "5328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.