Nathene Lynne Stark in Cordova - Dietitian, Registered
Nathene Lynne Stark - NPI 1063422780
Nathene Lynne Stark is a Dietitian, Registered in Cordova, Tennessee. Nathene Lynne Stark practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Nathene Lynne Stark is 1063422780. The last update date is 2007-07-08.
Nathene Lynne Stark's current location address is 7626 Dexter Run Cir, Cordova, Tennessee. You can contact this provider via phone number 9017531308. The mailing address for Nathene Lynne Stark is 7626 Dexter Run Cir, Cordova, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nathene Lynne Stark |
|---|---|
| Address | 7626 Dexter Run Cir, Cordova, Tennessee |
| Phone Number | 9017531308 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RD, LDN |
NPI Number Detail
| NPI Number | 1063422780 |
|---|---|
| Provider Enumeration Date | 2006-08-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7626 Dexter Run Cir |
|---|---|
| City | Cordova |
| State | Tennessee (TN) |
| Post Code | 380168754 |
| Phone Number | 9017531308 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | LDN000000060 |
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Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| LDN0000000603 | TN | LICENSED DIETITIAN/NUTRIT | |
| 447145 | REGISTED DIETITIAN |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Nathene Lynne Stark by the Centers for Medicare & Medicaid Services?
The Nathene Lynne Stark has been assigned the NPI (National Provider Identifier) 1063422780 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Nathene Lynne Stark's physical address?
The Nathene Lynne Stark is physically located at 7626 Dexter Run Cir, in the city of Cordova, TN, with the postal code 380168754.
What is Nathene Lynne Stark's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Nathene Lynne Stark is Dietitian, Registered, and the taxonomy classification code that categorizes this area of expertise is 133V00000X.
On what date did Nathene Lynne Stark receive its 1063422780 assignment from the Centers for Medicare & Medicaid Services?
The Nathene Lynne Stark was assigned its 1063422780 on 2006-08-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Nathene Lynne Stark, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Nathene Lynne Stark, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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