Individual provider Active NPI

Kristen Jackson Slusher, MS, RD,LDN

  • Registered Dietitian
  • Knoxville, TN
National Provider Identifier
1912310707
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LDN0000001919 Issued in TN
Practice address
2018 W Clinch Ave
Knoxville, TN 37916-2301
Phone
(865) 541-8395
Fax
(865) 541-8681
NPI assigned
Jun 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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 LDN0000001919 TN Primary

Addresses

Primary practice location

2018 W Clinch Ave
Knoxville, TN 37916-2301

Mailing address

433 Bramblewood LN
Knoxville, TN 37922-4370
Phone (865) 541-8395

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

LicenseStateTypeSpecialty
LDN0000001919TNMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1912310707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 BRAMBLEWOOD LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379224370",
            "telephone_number": "865-541-8395",
            "fax_number": "865-541-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 W CLINCH AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162301",
            "telephone_number": "865-541-8395",
            "fax_number": "865-541-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLUSHER",
        "first_name": "KRISTEN",
        "middle_name": "JACKSON",
        "name_prefix": "Mrs.",
        "credential": "MS, RD,LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "LDN0000001919",
            "primary": true
        }
    ],
    "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 Jun 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.