Lynette Newhart

Individual provider Active NPI Nutrition Education Nutritionist · Hampshire, TN

NPI 1881243863 · NPPES record last updated Sep 11, 2019

Key facts

NPI
1881243863
Entity type
Individual (NPI type 1)
Primary specialty
Nutrition Education Nutritionist 133NN1002X
License
LDN0000003536 (TN)
Practice address
269 James Zimmerman Rd
Hampshire, TN 38461-5112
Phone
(717) 265-5420
NPI assigned
Sep 11, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LDN0000003536TNMDNutrition Education Nutritionist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X LDN0000003536 TN Yes

Addresses

Primary practice location

269 James Zimmerman Rd
Hampshire, TN 38461-5112

Mailing address

269 James Zimmerman Rd
Hampshire, TN 38461-5112

Other providers in Hampshire, TN

All providers in Hampshire, TN · Nutrition Education Nutritionist in Tennessee

Sources for this page

Verify at the official NPI Registry.