Active NPI
Devon Rae Millsaps, MS, RD, LDN
- Registered Dietitian
- Knoxville, TN
National Provider Identifier
1942886296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3508
- Practice address
- 705 Gate LN Ste 202
Knoxville, TN 37909-3521 - Phone
- (865) 585-2677
- NPI assigned
- Mar 18, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 3508 | TN | Primary |
Addresses
Primary practice location
705 Gate LN Ste 202
Knoxville, TN 37909-3521
Mailing address
1604 Greenbrier Ridge Way Apt 303
Knoxville, TN 37909-3393
Phone (865) 228-4114
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Knoxville |
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 |
|---|---|---|---|
| 3508 | TN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiant Nutrition, LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616025600000",
"number": "1942886296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 GREENBRIER RIDGE WAY APT 303",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379093393",
"telephone_number": "865-228-4114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 GATE LN STE 202",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379093521",
"telephone_number": "865-585-2677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLSAPS",
"first_name": "DEVON",
"middle_name": "RAE",
"credential": "MS, RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-18",
"last_updated": "2021-03-18",
"certification_date": "2021-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TN",
"license": "3508",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Knoxville",
"affiliation": "N",
"address_1": "705 Gate Ln Ste 202",
"city": "Knoxville",
"state": "TN",
"country_code": "US",
"postal_code": "379093521",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.