CAITLYNN RICHOLE LASTER (NPI# 1063041010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063041010 |
| Entity Type | Individual |
| Full Name | CAITLYNN RICHOLE LASTER |
| Credential | RDN, LDN, CDE |
| Practice Address |
651 Dunlop Ln Clarksville TN 37040-5015 |
| Mailing Address |
104 Reservoir Hts Russellville KY 42276-1548 |
| Practice Telephone | 9315021690 |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | 168773 | KY | Dietary & Nutritional Service Providers |
| Y | 133V00000X | Dietitian, Registered | 3523 | TN | Dietary & Nutritional Service Providers |
| Street Address |
651 DUNLOP LN |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37040-5015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821098690 | Dale P Cunningham | Physical Medicine & Rehabilitation | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2005-07-22 |
| 1487253183 | Carlyn Alexandra Owens | Physician Assistant | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2020-10-22 |
| 1427671718 | Clarksville Health System Gp | Medicare Defined Swing Bed Unit | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2020-05-21 |
| 1457994402 | Caroline Elizabeth Chadwell | Physician Assistant | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2019-10-22 |
| 1215578976 | Brian Ronald Song | Physician Assistant | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2019-10-03 |
| 1942768866 | Sabrina Patrise Poydras | Nurse Practitioner | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2019-03-10 |
| 1790274850 | Cedar Ridge Critical Care Medical Group PC | Physician Assistant | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2018-05-04 |
| 1780181263 | Allison Bledsoe | Nurse Practitioner | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2018-04-10 |
| 1528579604 | Valley Emergency Physicians Tennessee PC | Nurse Practitioner | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2017-10-17 |
| 1730698671 | Mackenzie Zak Rickert | Physician Assistant | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2017-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124380 | Clarksville Treatment Center, LLC | Clinic/Center | 495 Dunlop Lane, Clarksville, TN 37040 | 2019-10-04 |
| 1295384956 | Dena Marie Borchick | Technician | 3779 Cindy Jo Dr. N, Clarksville, TN 37040 | 2019-09-05 |
| 1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
| 1730640566 | Latoya Ewert | Counselor | Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 | 2019-03-26 |
| 1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
| 1518448554 | Bandel Counseling Service | Clinic/Center | 113 3rd St., Suite 25, Clarksville, TN 37040 | 2018-08-28 |
| 1477052520 | Bridget Stokes | Behavior Technician | 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 | 2018-02-05 |
| 1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
| 1902328362 | Terri Brooke Roach | Registered Nurse | 651 Dunlop Lane, Clarksville, TN 37040 | 2017-07-07 |
| 1093244428 | Nikkia Deneil Bell | Behavior Technician | 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 | 2017-06-08 |
| Find all providers in zip 37040 | ||||
| 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 |
|---|---|---|---|---|
| 1659970960 | Lyndsey Cooper | Dietitian, Registered | 1060 W Creek Coyote Trl Apt 1507, Clarksville, TN 37042-8267 | 2020-10-19 |
| 1912553116 | Stephanie Searor | Dietitian, Registered | 227 Dunbar Cave Rd Ste A, Clarksville, TN 37043-8856 | 2019-08-13 |
| 1922669969 | Mary-catherine Stockman | Dietitian, Registered | 2215 Eldos Trace Cir Unit 2604, Clarksville, TN 37042-1776 | 2019-06-20 |
| 1588011126 | Emily Christine Mobley | Dietitian, Registered | 1133 N Ja Tate Dr, Clarksville, TN 37043-1439 | 2016-05-24 |
| 1275882060 | Shay Morgan | Dietitian, Registered | 1100 East Poplar Street, Clarksville, AR 72830 | 2012-09-07 |
| 1184795668 | Margaret Nelle Martin | Dietitian, Registered | 215 Maplemere Dr, Clarksville, TN 37040-3558 | 2006-11-13 |
| 1730674094 | Amy Jean Ryan | Dietitian, Registered | 300 Pageant Ln, Clarksville, TN 37040-3854 | 2018-06-28 |
| 1659457224 | Amy Marie Robinson | Dietitian, Registered | 1771 Madison St, Clarksville, TN 37043-4990 | 2006-10-27 |
| 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 |
| 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 |
| 1407469893 | Farrah Matthews Reidt | Dietitian, Registered | 7884 Laurelton Dr, Chattanooga, TN 37421-1953 | 2020-08-26 |
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| City | CLARKSVILLE |
| Zip Code | 37040 |
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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.