Dominique Harris, RDN is a
Dietitian, Registered - Nutrition, Renal based in Mount Juliet, Tennessee. Dominique Harris is licensed to practice in Tennessee (license number 0000003856) and her current practice location is
401 Old Pleasant Grove Rd Apt 427, Mount Juliet, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(615) 870-8685.
NPI number for Dominique Harris is 1588393235 and her current mailing address is 212 Babb Dr, Lebanon, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588393235.
Healthcare Provider's Profile
Full Name | Dominique Harris |
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Gender | Female |
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Speciality | Dietitian, Registered - Nutrition, Renal |
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Location | 401 Old Pleasant Grove Rd Apt 427, Mount Juliet, Tennessee |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1588393235
- Provider Enumeration Date: 06/08/2022
- Last Update Date: 06/08/2022
Medical Identifiers
Medical identifiers for Dominique Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588393235 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133VN1005X | Dietitian, Registered - Nutrition, Renal | 0000003856 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dominique Harris is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dominique Harris, RDN 212 Babb Dr, Lebanon, TN 37087-4884 Ph: () - | Dominique Harris, RDN 401 Old Pleasant Grove Rd Apt 427, Mount Juliet, TN 37122-3995 Ph: (615) 870-8685 |
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