Active NPI
Sydney Griffin, MS, RDN, LDN
- Registered Dietitian
- Bowling Green, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 276320
- 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
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 | 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, TN
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 276320 | KY | MD | Registered Dietitian |
| 4941 | TN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dietitian Group, LLC | Dietitian, Registered | Current | 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.