Individual provider Active NPI

Terry Harris Pachl, MS, RDN, LDN

  • Registered Dietitian
  • Cordova, TN
National Provider Identifier
1982122347
Registry record updated Sep 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LDN0000000445 Issued in TN
Practice address
295 Germantown Bend CV
Cordova, TN 38018-7238
Phone
(901) 759-9337
Fax
(901) 759-7967
NPI assigned
Sep 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2017

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 LDN0000000445 TN Primary

Addresses

Primary practice location

295 Germantown Bend CV
Cordova, TN 38018-7238

Mailing address

295 Germantown Bend CV
Cordova, TN 38018-7238
Phone (901) 759-9337

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LDN0000000445TNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Roger O. Gibson MD PC CurrentSince Sep 8, 2017 Accepting new patients

Locations

295 Germantown Bend Cv
Cordova, TN 38018
Phone (901) 751-0150

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": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504656000000",
    "number": "1982122347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 GERMANTOWN BEND CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380187238",
            "telephone_number": "901-759-9337",
            "fax_number": "901-759-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 GERMANTOWN BEND CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380187238",
            "telephone_number": "901-759-9337",
            "fax_number": "901-759-7967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHL",
        "first_name": "TERRY",
        "middle_name": "HARRIS",
        "name_prefix": "Ms.",
        "credential": "MS, RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2017-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "LDN0000000445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2017; 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.