Individual provider Active NPI

Emily Tipton

  • Registered Dietitian
  • Alcoa, TN
National Provider Identifier
1891430120
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LDN0000004063 Issued in TN
Practice address
122 Kent PL
Alcoa, TN 37701-1947
Phone
(865) 637-8812
NPI assigned
May 2, 2022
Last updated
May 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LDN0000004063 TN Primary

Addresses

Primary practice location

122 Kent PL
Alcoa, TN 37701-1947

Mailing address

122 Kent PL
Alcoa, TN 37701-1947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220715000760 TN Practitioner - Registered Dietitian Or Nutrition Professional 9436530987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
University of Alabama School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endocrinology Consultants of East TNGroup PAC ID 1951371525, 36 clinicians

Practice addresses (Care Compare)

414 Greenbelt Dr
Maryville, TN 37804-5702
Phone (865) 637-8812

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LDN0000004063TNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Endocrinology Consultants of East TN CurrentSince May 4, 2022 Accepting new patients
Blount Memorial Physician Group, Inc PastSince May 8, 2022 Accepting new patients

Locations

122 Kent Pl
Alcoa, TN 37701
Phone (865) 238-6630

1450 Dowell Springs Blvd
Ste 300
Knoxville, TN 37909
Phone (865) 470-9820

414 Greenbelt Dr
Maryville, TN 37804
Phone (865) 637-8812

800 Oak Ridge Tpke
Ste A402
Oak Ridge, TN 37830
Phone (865) 637-8812

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1651449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1891430120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 KENT PL",
            "city": "ALCOA",
            "state": "TN",
            "postal_code": "377011947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 KENT PL",
            "city": "ALCOA",
            "state": "TN",
            "postal_code": "377011947",
            "telephone_number": "865-637-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPTON",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "LDN0000004063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alcoa, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.