Individual provider Active NPI

Emily Vaughan Haddock, RD, LDN

  • Registered Dietitian
  • Nashville, TN
National Provider Identifier
1770174518
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
3441 Issued in TN
Practice address
5 Belle Forrest Ave
Nashville, TN 37206-2219
Phone
(615) 500-2951
NPI assigned
Feb 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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 3441 TN Primary

Addresses

Primary practice location

5 Belle Forrest Ave
Nashville, TN 37206-2219

Mailing address

5 Belle Forrest Ave
Nashville, TN 37206-2219
Phone (615) 500-2951

Other practice location 1

1607 Westgate Cir Ste 200
Brentwood, TN 37027-8077
Phone (615) 376-8195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210916000174 TN Practitioner - Registered Dietitian Or Nutrition Professional 8123425238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Medical Group, PLLCGroup PAC ID 2860396330, 636 clinicians

Practice addresses (Care Compare)

1607 Westgate Cir
Suite 200
Brentwood, TN 37027-8077
Phone (615) 376-8195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3441TNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Music City Nutrition & Wellness, PLLC Dietitian, Registered CurrentSince Dec 15, 2024 Accepting new patients
Edisonhealth LLC Dietitian, Registered CurrentSince Jun 13, 2021 Accepting new patients
Summit Medical Group, PLLC CurrentSince Dec 10, 2024 Accepting new patients
Summit Medical Group, PLLC CurrentSince Dec 10, 2024 Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients
Murfreesboro Medical Clinic, P.a. Past Accepting new patients
Summit Medical Group, PLLC Past Accepting new patients

Locations

1607 Westgate Cir
Ste 200
Brentwood, TN 37027
Phone (615) 376-8195

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

2021 Richard Jones Rd
Ste 350B
Nashville, TN 37215
Phone (214) 789-7233

Interoperability endpoints

  • Direct secure messaging: emily.haddock.1@20785.direct.athenahealth.com

Organizations & group practices 7

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": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1770174518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BELLE FORREST AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372062219",
            "telephone_number": "615-500-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BELLE FORREST AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372062219",
            "telephone_number": "615-500-2951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1607 Westgate Cir Ste 200",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "370278077",
            "country_code": "US",
            "telephone_number": "615-376-8195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HADDOCK",
        "first_name": "EMILY",
        "middle_name": "VAUGHAN",
        "name_prefix": "Mrs.",
        "credential": "RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "3441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.