Active NPI
Sandra Jennine Reese
- Registered Dietitian
- Kingsport, TN
National Provider Identifier
1831653328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1383
- Practice address
- 132 W Sevier Ave Ste 2
Kingsport, TN 37660-3764 - Phone
- (423) 224-3578
- NPI assigned
- Jan 29, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 1383 | TN | Primary |
Addresses
Primary practice location
132 W Sevier Ave Ste 2
Kingsport, TN 37660-3764
Mailing address
132 W Sevier Ave Ste 2
Kingsport, TN 37660-3764
Phone (423) 224-3578
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1383 | TN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548720000000",
"number": "1831653328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 W SEVIER AVE STE 2",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376603764",
"telephone_number": "423-224-3578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 W SEVIER AVE STE 2",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376603764",
"telephone_number": "423-224-3578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REESE",
"first_name": "SANDRA",
"middle_name": "JENNINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-29",
"last_updated": "2019-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TN",
"license": "1383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.