Active NPI
Karen Balnicki Wetherall, MS, RD, LDN
- Registered Dietitian
- Knoxville, TN
National Provider Identifier
1780758177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LDN0000000736
- Practice address
- 111 Westfield Dr
Knoxville, TN 37919-4820 - Phone
- (865) 466-7002
- Fax
- (865) 220-9006
- NPI assigned
- Nov 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LDN0000000736 | TN | Primary |
Addresses
Primary practice location
111 Westfield Dr
Knoxville, TN 37919-4820
Mailing address
120 Graceland Rd
Oak Ridge, TN 37830-5603
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LDN0000000736 | TN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780758177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 GRACELAND RD",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378305603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 WESTFIELD DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379194820",
"telephone_number": "865-466-7002",
"fax_number": "865-220-9006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WETHERALL",
"first_name": "KAREN",
"middle_name": "BALNICKI",
"name_prefix": "Ms.",
"credential": "MS, RD, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TN",
"license": "LDN0000000736",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.