COURTNEY GRACE MCMAHAN (NPI# 1124663703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124663703 |
| Entity Type | Individual |
| Full Name | COURTNEY GRACE MCMAHAN |
| Credential | RD, LDN |
| Practice Address |
6201 Lee Hwy Chattanooga TN 37421-0304 |
| Mailing Address |
1362 Passenger St Apt 1024 Chattanooga TN 37408-1352 |
| Practice Telephone | 4238023672 |
| Mailing Telephone | 4234636139 |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2019-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
Dietary & Nutritional Service Providers | ||
| N | 133VN1201X | ||||
| N | 133VN1501X |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 14377510 | 01 |
| Street Address |
6201 LEE HWY |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421-0304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers in zip 37421 | ||||
| Taxonomy Code | 133VN1006X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Metabolic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639573447 | Core Diabetes | Dietitian, Registered | 7921 Long Drive, Chattanooga, TN 37421 | 2014-10-22 |
| 1922591064 | Donna G. Neves | Dietitian, Registered | 961 Spring Creek Rd, Chattanooga, TN 37412-3909 | 2018-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053899096 | Gina Schneider Wey | Dietitian, Registered | 1211 21st Ave South 607 Medical Arts Building, Nashville, TN 37232-1320 | 2018-08-01 |
| 1467942359 | Gerald Keith Painter | Dietitian, Registered | 909 Bluff Rd # 9, Brentwood, TN 37027-8314 | 2018-05-16 |
| 1437278769 | Selena Lynette Reed | Dietitian, Registered | 1759 Old Niles Ferry Rd, Maryville, TN 37803 | 2007-03-28 |
| 1023677028 | Katherine Eileen O'bar | Dietitian, Registered | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2019-06-12 |
| 1437526159 | Holly Redmon | Dietitian, Registered | 1224 Trotwood Ave, Columbia, TN 38401-4802 | 2015-08-28 |
| 1477941375 | East Tennessee Children's Hospital Association, Inc. | Dietitian, Registered | 2018 Clinch Ave, South Tower 2nd Floor, Knoxville, TN 37916-2301 | 2014-12-30 |
| 1104239284 | Thomas Stone Mcnees | Dietitian, Registered | 53 Memorial Dr, Unit 4000, Mountain Home, TN 37684-3018 | 2014-06-06 |
| 1760807861 | Kim Flack | Dietitian, Registered | 1211 21st Ave S, 607 Medical Arts Building, Nashville, TN 37232-1320 | 2014-02-26 |
| 1407138878 | Betsy Bohannon | Dietitian, Registered | 1924 Alcoa Hwy, Department of Family Medicine, U-67, Knoxville, TN 37920-1511 | 2011-09-12 |
| 1982936092 | Sarah Hazlegrove Sullivan | Dietitian, Registered | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2010-02-01 |
| Find all providers with the same taxonomy | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
Please comment or provide details below to improve the information on COURTNEY GRACE MCMAHAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.