Active NPI
Peggy Pratt
- Registered Dietitian
- Knoxville, TN
National Provider Identifier
1801270319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LDN0000002694
- Practice address
- 2210 Sutherland Ave
Ste. 115
Knoxville, TN 37919-2337 - Phone
- (972) 745-3552
- NPI assigned
- Jul 14, 2015
- Last updated
- Jul 14, 2015
- 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 | LDN0000002694 | TN | Primary |
Addresses
Primary practice location
2210 Sutherland Ave
Ste. 115
Knoxville, TN 37919-2337
Mailing address
11111 Oak Hollow Rd
Knoxville, TN 37932-1924
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LDN0000002694 | TN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiant Nutrition, LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
705 Gate Ln
Ste 202
Knoxville, TN 37909
Phone (706) 960-9550
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436832000000",
"number": "1801270319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11111 OAK HOLLOW RD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379321924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 SUTHERLAND AVE",
"address_2": "STE. 115",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379192337",
"telephone_number": "972-745-3552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATT",
"first_name": "PEGGY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-14",
"last_updated": "2015-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TN",
"license": "LDN0000002694",
"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 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.