Missy Bradley Diabetes & Wellness Consulting LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

MISSY BRADLEY DIABETES & WELLNESS CONSULTING LLC

Practice address

55 E Main St Ste 106
Chattanooga, TN 37408-1237

Phone

(423) 689-1600

NPI assigned

Feb 2, 2022

Organization subpart

No

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

Authorized official

Name

Missy Bradley

Title

Owner

Phone

(423) 503-9916

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657756800000",
    "number": "1962155697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1463 MARKET ST STE 101",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374024465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E MAIN ST STE 106",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374081237",
            "telephone_number": "423-689-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSY BRADLEY DIABETES & WELLNESS CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "MISSY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-503-9916"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Registered Dietitian in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.