Active NPI
Donna C Fallis, MS RD LDN
- Registered Dietitian
- Knoxville, TN
National Provider Identifier
1902944143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LDN0000000618
- Practice address
- 900 E Oak Hill Avenue
Knoxville, TN 37917 - Phone
- (865) 545-8300
- NPI assigned
- Feb 1, 2007
- Last updated
- Jul 8, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LDN0000000618 | TN | Primary |
| Registered Dietitian | 133V00000X | REG NO 706737 | TN |
Addresses
Primary practice location
900 E Oak Hill Avenue
Knoxville, TN 37917
Mailing address
PO Box 70406
Knoxville, TN 37938
Phone (865) 922-0406
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LDN0000000618 | TN | MD | Registered Dietitian |
| REG NO 706737 | TN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902944143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 70406",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37938",
"telephone_number": "865-922-0406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E OAK HILL AVENUE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37917",
"telephone_number": "865-545-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALLIS",
"first_name": "DONNA",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "MS RD LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TN",
"license": "LDN0000000618",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TN",
"license": "REG NO 706737",
"primary": false
}
],
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.