Carly Ann Noe, RD, LDN, CNSC
Individual provider Active NPI Registered Dietitian · College Grove, TN
NPI 1922012145 · NPPES record last updated Nov 27, 2017
Key facts
- NPI
- 1922012145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 2247 (TN)
- Practice address
- 6511 Bridleway Drive
College Grove, TN 37046 - Phone
- (630) 212-5272
- NPI assigned
- Jul 27, 2006
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 164.004442 | IL | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 164.004442 | IL | |
| Registered Dietitian | 133V00000X | 2247 | TN | Yes |
Addresses
Primary practice location
6511 Bridleway Drive
College Grove, TN 37046
Mailing address
6511 Bridleway Drive
College Grove, TN 37046
Phone (630) 212-5272
Other names
- Carly Ann Houston
Other providers in College Grove, TN
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- Brandt Luke
- Kristina Lee Miller
- My Liveability, LLC
- Marina Nessler
- Mahaley Patel
- Christopher Reeder
- Southern Charm Concierge
- Sherron Tice Trimble
- Trusted Caregivers LLC
All providers in College Grove, TN · Registered Dietitian in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.