Organization Active NPI

Casey Peer Nutrition Consultants

  • Registered Dietitian
  • Knoxville, TN
National Provider Identifier
1740319136
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1095 Issued in TN
Legal business name
CASEY PEER NUTRITION CONSULTANTS
Practice address
1107 Milam Circle
Knoxville, TN 37919
Phone
(865) 414-7491
NPI assigned
Mar 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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

Authorized official

Name
Mrs. Casey Drake Peer, RD
Title
Registered Dietitian Owner
Phone
(865) 414-7491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 1095 TN Primary

Addresses

Primary practice location

1107 Milam Circle
Knoxville, TN 37919

Mailing address

1107 Milam Circle
Knoxville, TN 37919
Phone (865) 414-7491

Other identifiers 1

IdentifierTypeStateIssuer
00841OtherTNDMRS WAIVER PROVIDER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1740319136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 MILAM CIRCLE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37919",
            "telephone_number": "865-414-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 MILAM CIRCLE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37919",
            "telephone_number": "865-414-7491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASEY PEER NUTRITION CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-03",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "PEER",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "DRAKE",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN     OWNER",
        "authorized_official_telephone_number": "865-414-7491",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "1095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMRS WAIVER PROVIDER",
            "identifier": "00841",
            "state": "TN"
        }
    ],
    "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 Feb 4, 2009; 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.