CAROLINE FRANCES PRUENTE (NPI# 1336773654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336773654 |
| Entity Type | Individual |
| Full Name | CAROLINE FRANCES PRUENTE |
| Credential | MS, RDN |
| Practice Address |
6263 Poplar Ave Ste 605 Memphis TN 38119-4724 |
| Practice Telephone | 6159482626 |
| Practice Fax Number | 9013281802 |
| Mailing Telephone | 6159482626 |
| Mailing Fax Number | 9013281802 |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2020-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 3684 | TN | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NONE | NONE | 01 |
| Street Address |
6263 POPLAR AVE STE 605 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-4724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629552633 | Leslie Carr Ely | Dietitian, Registered | 6263 Poplar Ave Ste 605, Memphis, TN 38119-4724 | 2018-09-17 |
| 1457959603 | Brigid Breedlove Kay | Dietitian, Registered | 6263 Poplar Ave Ste 605, Memphis, TN 38119-4724 | 2020-10-10 |
| 1538799515 | Memphis Nutrition Group, LLC | Clinic/Center | 6263 Poplar Ave Ste 605, Memphis, TN 38119-4724 | 2020-01-18 |
| 1174153159 | Blair Mize | Dietitian, Registered | 6263 Poplar Ave Ste 605, Memphis, TN 38119-4724 | 2020-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
| 1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
| 1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
| 1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
| 1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
| 1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
| 1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
| 1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
| Find all providers in zip 38119 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962022731 | Emily Faquin | Dietitian, Registered | 880 Madison Ave Fl 5, Memphis, TN 38103-3409 | 2020-04-22 |
| 1447887435 | Leeanne Chittom Mcdonald | Dietitian, Registered | Ulps Surgery, 2nd Floor, 50 N. Dunlap, Memphis, TN 38105 | 2020-03-27 |
| 1982252524 | Whitney Nichole Trotter | Dietitian, Registered | 5578 Sweet Gum Dr, Memphis, TN 38134-6624 | 2019-08-27 |
| 1336706894 | Richard Starr | Dietitian, Registered | 1030 Jefferson Ave # Nfs120, Memphis, TN 38104-2127 | 2019-05-21 |
| 1518437235 | Margaret Bender | Dietitian, Registered | 3589 Johnwood Dr, Memphis, TN 38122-4549 | 2018-11-26 |
| 1629552633 | Leslie Carr Ely | Dietitian, Registered | 6263 Poplar Ave Ste 605, Memphis, TN 38119-4724 | 2018-09-17 |
| 1154827632 | Kristy Gibbons | Dietitian, Registered | 262 Danny Thomas Pl # Ms 732, Memphis, TN 38105-3678 | 2018-04-03 |
| 1114433943 | Abigail Currie Lenore Roche | Dietitian, Registered | 43 N Cleveland St, Memphis, TN 38104-2301 | 2017-12-15 |
| 1386163707 | Casey Provo | Dietitian, Registered | 1689 Nonconnah Blvd., Memphis, TN 38132 | 2017-09-18 |
| 1952848038 | Ward Dietetics, LLC | Dietitian, Registered | 4561 Sequoia Ave, Memphis, TN 38117-1719 | 2017-01-26 |
| Find all providers in MEMPHIS | ||||
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| 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.