CORE DIABETES (NPI# 1639573447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639573447 |
| Entity Type | Organization |
| Organization Name | CORE DIABETES |
| Practice Address |
7921 Long Drive Chattanooga TN 37421 |
| Practice Telephone | 4235980170 |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |
| Authorized Official Name | JENNY MADZIN (OWNER) |
| Authorized Official Telephone | 4235980170 |
| Authorized Official Credential | MS, RD, CDE, LDN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
844622 | Dietary & Nutritional Service Providers | |
| Y | 133V00000X | Dietitian, Registered | 844622 | TN | Dietary & Nutritional Service Providers |
| Street Address |
7921 LONG DRIVE |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421 |
| 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 | 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 |
|---|---|---|---|---|
| 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 |
| 1407469893 | Farrah Matthews Reidt | Dietitian, Registered | 7884 Laurelton Dr, Chattanooga, TN 37421-1953 | 2020-08-26 |
| 1225667751 | Stephanie West | Dietitian, Registered | 324 E 8th St Apt 10, Chattanooga, TN 37403-4034 | 2020-04-06 |
| 1346876083 | Kari Intemann | Dietitian, Registered | 251 N Lyerly St Ste 202, Chattanooga, TN 37404-2743 | 2020-03-13 |
| 1477186591 | Emily Smith Maddux | Dietitian, Registered | 7811 Scrapeshin Trl, Chattanooga, TN 37421-4292 | 2020-02-17 |
| 1427691237 | Amir Alakaam | Dietitian, Registered | 518 Oak St Dept 6606, Chattanooga, TN 37403-1905 | 2019-10-24 |
| 1558832022 | Cindy Sims | Dietitian, Registered | 251 N Lyerly St Ste 200, Chattanooga, TN 37404-2743 | 2018-12-10 |
| 1003394958 | Pamela Jean Kelle | Dietitian, Registered | 1238 Hanover St, Chattanooga, TN 37405-3020 | 2018-08-02 |
| 1295288371 | Meghan S Sprague | Dietitian, Registered | 177 W Euclid Ave, Chattanooga, TN 37415-4797 | 2016-07-26 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
Please comment or provide details below to improve the information on CORE DIABETES.
| 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.