Individual provider Active NPI

Jennifer Coltharp, RD

  • Registered Dietitian
  • Nashville, TN
National Provider Identifier
1780160895
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2312 Issued in TN
Practice address
1211 21St Ave S
Nashville, TN 37232-1320
Phone
(615) 936-3952
Fax
(615) 936-3956
NPI assigned
Jul 12, 2018
Last updated
Jul 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

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 2312 TN Primary

Addresses

Primary practice location

1211 21St Ave S
Nashville, TN 37232-1320

Mailing address

846 Walden Dr
Franklin, TN 37064-4225
Phone (615) 936-3952

Other identifiers 1

IdentifierTypeStateIssuer
LDN0000002312OtherTNTN RD LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1780160895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "846 WALDEN DR",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370644225",
            "telephone_number": "615-936-3952",
            "fax_number": "615-936-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 21ST AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372321320",
            "telephone_number": "615-936-3952",
            "fax_number": "615-936-3956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLTHARP",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-12",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "2312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN RD LICENSE NUMBER",
            "identifier": "LDN0000002312",
            "state": "TN"
        }
    ],
    "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 Jul 12, 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.