Deneen Kimberly Gault

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

Practice address

25 Morgan LN
Lebanon, TN 37087-1580

Phone

(615) 828-8501

NPI assigned

Jun 19, 2018

Sex

Female

Sole proprietor

No

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)

Not enrolled

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1760976237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MORGAN LN",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370871580",
            "telephone_number": "615-828-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MORGAN LN",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370871580",
            "telephone_number": "615-828-8501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Parks St",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "TN",
            "postal_code": "373552482",
            "country_code": "US",
            "telephone_number": "931-723-5134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAULT",
        "first_name": "DENEEN",
        "middle_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary G. Gallant, M.D.
• Tayler Gammon, H.I.S.
• Victoria Zickgraf Garcia, BSN, RN, IBCLC
• Garlington Haller Ventures, LLC
• Garlington Haller Ventures, LLC
• Genoa Healthcare LLC
• Richard Henry Gentzler III, DDS
• Martha Phillips George, MD
• Taylor George, ATC, LAT
• Dena A Ghaly

• Nutrition Education Nutritionist in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Nutrition Education Nutritionist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.