Kacy Bartow, MS, RD
Individual provider Active NPI Registered Dietitian · Bessemer, AL
NPI 1972025039 · NPPES record last updated Jul 11, 2017
Key facts
- NPI
- 1972025039
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 2777 (AL)
- Practice address
- 995 9TH Ave SW
Bessemer, AL 35022-4527 - Phone
- (205) 481-7183
- NPI assigned
- Jul 11, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Endocrinology Consultants of East TN
Practice addresses (Care Compare)
1450 Dowell Springs Blvd
Suite 300
Knoxville, TN 37909-2444
Phone (865) 637-8812
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250711002517 | TN | Practitioner - Registered Dietitian Or Nutrition Professional | 3274048020 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4416 | TN | MD | Professional Counselor |
| 2777 | AL | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endocrinology Consultants of East TN | Current |
Accepting new patients |
Locations
1450 Dowell Springs Blvd
Ste 300
Knoxville, TN 37909
Phone (865) 470-9820
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2777 | AL | Yes |
Addresses
Primary practice location
995 9TH Ave SW
Bessemer, AL 35022-4527
Mailing address
995 9TH Ave SW
Bessemer, AL 35022-4527
Other providers in Bessemer, AL
- Patricia Anne Banuelos
- Barbara'S Family Style Salon
- Wanda D Barnett
- David Roy Barthold
- Amanda Barton
- Bass Assertive Solutions & Support, LLC
- Natasha Carpenter Battle
- Zachary Battles
- Beatrice Chaicharncheep
- Nicholas Tyler Beavers
All providers in Bessemer, AL · Registered Dietitian in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.