Amanda Kirkpatrick, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

0000002167 Issued in TN

Practice address

6103 Hunter Crest Drive
Ooltewah, TN 37363

Phone

(423) 227-5017

NPI assigned

Jul 2, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1750877833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6103 HUNTER CREST DR",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6103 HUNTER CREST DRIVE",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "37363",
            "telephone_number": "423-227-5017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKPATRICK",
        "first_name": "AMANDA",
        "credential": "RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "0000002167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darlene Kellogg, CNA
• Howard Michael Kennedy Jr., PA-C
• Janine Marie Kennedy, PA-C
• Kidney Center of Ooltewah- Collegedale LLC
• Eli Yong Kim, M.D.
• Mark David Kirshner, C.PED, CO
• Klinner Enterprises
• Thomas Robert Klinner, MD
• Kenneth Knoechel, LPC
• Cassie Marie Kokoszka, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.