Individual provider Active NPI

Sydney Griffin, MS, RDN, LDN

  • Registered Dietitian
  • Bowling Green, KY
National Provider Identifier
1730874264
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
276320 Issued in KY
Practice address
207 Traditions Blvd
Bowling Green, KY 42103-7957
Phone
(270) 901-3412
NPI assigned
Apr 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 276320 KY Primary

Addresses

Primary practice location

207 Traditions Blvd
Bowling Green, KY 42103-7957

Mailing address

705 State St Unit 4
Bowling Green, KY 42101-2264
Phone (731) 426-2682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230614000812 KY Practitioner - Registered Dietitian Or Nutrition Professional 6608234224 Reassigns benefits to 1 organization
I20240905001897 TN Practitioner - Registered Dietitian Or Nutrition Professional 6608234224 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MNT, Inc.Group PAC ID 8820132145, 4 clinicians
Dietitian Group LLCGroup PAC ID 5193161479, 4 clinicians

Practice addresses (Care Compare)

207 Traditions Blvd
Bowling Green, KY 42103-7957
Phone (270) 901-3412

615 Main St
Suite M1
Nashville, TN 37206-3603
Phone (615) 709-0903

892 Windsor Green Blvd
Goodlettsville, TN 37072-2136
Phone (270) 901-3412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
276320KYMDRegistered Dietitian
4941TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dietitian Group, LLC Dietitian, Registered CurrentSince Oct 24, 2025 Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Locations

615 Main St
Ste M1
Nashville, TN 37206
Phone (615) 709-0903

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1730874264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 STATE ST UNIT 4",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012264",
            "telephone_number": "731-426-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 TRADITIONS BLVD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421037957",
            "telephone_number": "270-901-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "SYDNEY",
        "credential": "MS, RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "276320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.