Caroline Knauss Chestnut, | |
2205 Pavilion Dr Ste 101, Kingsport, TN 37660-4641 | |
(423) 392-6000 | |
Not Available |
Full Name | Caroline Knauss Chestnut |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 2205 Pavilion Dr Ste 101, Kingsport, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134506033 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 2651 (Tennessee) | Primary |
133V00000X | Dietitian, Registered | L004580 (North Carolina) | Secondary |
Provider Name | Blue Ridge Medical Management Corporation |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1144380833 PECOS PAC ID: 9739099441 Enrollment ID: O20031204000996 |
Mailing Address | Practice Location Address |
---|---|
Caroline Knauss Chestnut, 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 302-6565 | Caroline Knauss Chestnut, 2205 Pavilion Dr Ste 101, Kingsport, TN 37660-4641 Ph: (423) 392-6000 |
Jennifer Walker, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 105 W Stone Dr, Ste: 2d, Kingsport, TN 37660 Phone: 423-578-1588 Fax: 423-857-2012 | |
Patti K (kati) Dunn, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 327 Hidden Valley Rd, Kingsport, TN 37663 Phone: 423-571-0358 | |
Kathryn Tremaine, Dietitian Medicare: Medicare Enrolled Practice Location: 2205 Pavilion Dr Ste 101, Kingsport, TN 37660 Phone: 423-392-6000 | |
Chastity M O'quinn, RD Dietitian Medicare: Medicare Enrolled Practice Location: 444 Clinchfield St Ste 2900, Kingsport, TN 37660 Phone: 423-723-2900 Fax: 423-723-2901 | |
Calle M Pisk, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 Netherland Ln, Kingsport, TN 37660 Phone: 423-245-0360 | |
David Fox Talley, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 105 W Stone Dr, Ste 2d, Kingsport, TN 37660 Phone: 423-578-1588 |