Nicki Nicole Bray, RD is a
Dietitian, Registered based in Beech Bluff, Tennessee. Nicki Nicole Bray is licensed to practice in Tennessee (license number 2635) and her current practice location is
955 Bray Rd, Beech Bluff, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(731) 608-3403.
NPI number for Nicki Nicole Bray is 1023417110 and her current mailing address is 955 Bray Rd, Beech Bluff, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023417110.
Healthcare Provider's Profile
Full Name | Nicki Nicole Bray |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 955 Bray Rd, Beech Bluff, Tennessee |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1023417110
- Provider Enumeration Date: 08/14/2014
- Last Update Date: 08/14/2014
Medical Identifiers
Medical identifiers for Nicki Nicole Bray such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023417110 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 2635 (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. Nicki Nicole Bray 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 |
Nicki Nicole Bray, RD 955 Bray Rd, Beech Bluff, TN 38313-1845 Ph: (731) 608-3403 | Nicki Nicole Bray, RD 955 Bray Rd, Beech Bluff, TN 38313-1845 Ph: (731) 608-3403 |
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