JESSICA BROYLES (NPI# 1366680423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366680423 |
| Entity Type | Individual |
| Full Name | JESSICA BROYLES |
| Credential | RD, LDN |
| Practice Address |
620 Davis Dr New Tazewell TN 37825 |
| Mailing Address |
620 Davis Dr New Tazewell TN 37825-2152 |
| Practice Telephone | 4236264291 |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2018-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 2071 | TN | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | REGISTERED DIETITIAN LICENSE NUMBER | 2071 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669726261 | Jessica Broyles | Pharmacist | 1355 Tusculum Blvd, Greeneville, TN 37745-4249 | 2012-11-04 |
| 1578754552 | Jessica Lynn Broyles | Massage Therapist | 2929 Nw 13th St, Gainesville, FL 32609-2831 | 2007-08-06 |
| Street Address |
620 DAVIS DR |
| City | NEW TAZEWELL |
| State | TN |
| Zip Code | 37825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235275124 | Carole Ann Dunifer | Registered Nurse | 620 Davis Dr, New Tazewell, TN 37825-2152 | 2007-01-29 |
| 1346736048 | Gabrielle Nicole Harp | Nurse's Aide | 620 Davis Dr, New Tazewell, TN 37825-2152 | 2018-07-05 |
| 1578084174 | Samantha Nicole Gent | Nurse's Aide | 620 Davis Dr, New Tazewell, TN 37825-2152 | 2017-07-05 |
| 1154794709 | Ashley Damron | Nurse's Aide | 620 Davis Dr, New Tazewell, TN 37825-2152 | 2015-11-04 |
| 1710390554 | Melinda Sue Honeycutt | Registered Nurse | 620 Davis Dr, New Tazewell, TN 37825-2152 | 2014-06-10 |
| 1538202353 | Frances Jeanne Kelemen | Dietitian, Registered | 620 Davis Dr, New Tazewell, TN 37825-2152 | 2007-02-14 |
| 1184762163 | State of Tennessee | Public Health or Welfare | 620 Davis Dr, New Tazewell, TN 37825-2152 | 2007-02-02 |
| 1235275694 | Melissa Brooks Morelock | Registered Nurse | 620 Davis Dr, New Tazewell, TN 37825-2152 | 2007-01-30 |
| 1912043548 | Juanita Kay Louthan | Registered Nurse | 620 Davis Dr, New Tazewell, TN 37825-2152 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801131610 | Emma Hernandez Tenerife | Physical Therapist | 505 Buchanan Road, New Tazewell, TN 37825 | 2012-12-05 |
| 1295959021 | Melvin Keith Donesky | Dentist | 212 Forrest Ave., New Tazewell, TN 37825 | 2007-04-12 |
| 1962533059 | Lisa Ann Mayes | Case Manager/Care Coordinator | 1596 Highway 33 South, New Tazewell, TN 37825 | 2007-03-08 |
| 1679505937 | James P Crutchfield | Optometrist | 409 N Broad St, New Tazewell, TN 37825 | 2006-07-07 |
| 1497257984 | Selena Frazier | Speech-Language Pathologist | 902 Buchanan Rd, New Tazewell, Tn, TN 37825 | 2018-03-01 |
| 1891211165 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 915 Main St, New Tazewell, TN 37825 | 2017-08-18 |
| 1083169171 | Haley Henard Debusk | Physician Assistant | 424 N. Broad Street, New Tazwell, Tazewell, TN 37825 | 2016-08-18 |
| 1508154055 | Dr.melvin Donesky D.d.s. | Dentist | 212 Forrest Ave., New Tazewell, TN 37825 | 2011-07-19 |
| 1437488350 | William Herbert Brooks | Licensed Practical Nurse | 1596 Highway 33 South, New Tazewell, TN 37825 | 2009-12-24 |
| 1023297124 | Kay Rose | Case Manager/Care Coordinator | 1596 Highway 33 South, New Tazewell, TN 37825 | 2007-10-25 |
| Find all providers in zip 37825 | ||||
| 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 |
|---|---|---|---|---|
| 1538202353 | Frances Jeanne Kelemen | Dietitian, Registered | 620 Davis Dr, New Tazewell, TN 37825-2152 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578069 | Erin Dragutsky | Dietitian, Registered | 7260 Corsica Dr, Germantown, TN 38138-1632 | 2020-11-03 |
| 1447850912 | Edisonhealth LLC | Dietitian, Registered | 6122 Elizabethan Dr, Nashville, TN 37205-1222 | 2020-10-26 |
| 1831798990 | Haley Maturin | Dietitian, Registered | 145 Hopson Private Dr, Hampton, TN 37658-3068 | 2020-10-20 |
| 1659970960 | Lyndsey Cooper | Dietitian, Registered | 1060 W Creek Coyote Trl Apt 1507, Clarksville, TN 37042-8267 | 2020-10-19 |
| 1770181554 | Alexys Vogel | Dietitian, Registered | 55 Governors Way, Brentwood, TN 37027-8926 | 2020-10-13 |
| 1811594880 | Seena Maria Ferrari Curry | Dietitian, Registered | 237 Donna Dr, Hendersonville, TN 37075-4109 | 2020-10-02 |
| 1043817190 | Ellen Jones | Dietitian, Registered | 3140 Long Blvd Apt 206, Nashville, TN 37203-1278 | 2020-10-01 |
| 1760099634 | Madison Anne Templeton | Dietitian, Registered | 1403 Union Ave, Chattanooga, TN 37404-3427 | 2020-09-25 |
| 1609480227 | Kathryn Ann Russell | Dietitian, Registered | 1067 Riverfront Pkwy., Suite 201, Chattanooga, TN 37402 | 2020-09-01 |
| 1285247247 | Karman Meyer | Dietitian, Registered | 5723 Brentwood Meadows Cir, Brentwood, TN 37027-4417 | 2020-08-28 |
| Find all providers with the same taxonomy | ||||
| City | NEW TAZEWELL |
| Zip Code | 37825 |
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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.