Krystal L Cameron, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LDN0000001926 Issued in TN

Practice address

200 Prosperity Dr
Knoxville, TN 37923-4718

Phone

(865) 290-0110

Fax

(865) 290-0140

NPI assigned

Oct 23, 2007

Last updated

Apr 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

East TN Nutrition and WellnessGroup PAC ID 6709262280, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• East TN Nutrition and Wellness

  • Registered Dietitian
  • Knoxville, TN
  • NPI 1386379071

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1881883114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 NEW CORINTH RD",
            "city": "BLAINE",
            "state": "TN",
            "postal_code": "377095623",
            "telephone_number": "865-290-0110",
            "fax_number": "865-290-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PROSPERITY DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234718",
            "telephone_number": "865-290-0110",
            "fax_number": "865-290-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMERON",
        "first_name": "KRYSTAL",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-23",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "LDN0000001926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q044740",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie F. Camenzind, PH.D.
• Amanda Ollis Cameron, FNP-BC
• Jason Robert Cameron, M.D.
• Jill Cameron, ANP-BC
• Kierra Rachelle Cameron
• Lauree Danielle Cameron, PA
• Camilla C. Bennett MD PC
• Camille Heatherly Williamson LCSW, LLC
• Luke Camp, PA
• Nina Elizabeth Campanaro

• Registered Dietitian in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Registered Dietitian in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.