MRS. KIM FLACK (NPI# 1760807861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760807861 |
| Entity Type | Individual |
| Full Name | MRS. KIM FLACK |
| Credential | M.S., R.D., L.D.N. |
| Practice Address |
1211 21st Ave S 607 Medical Arts Building Nashville TN 37232-1320 |
| Mailing Address |
205 Wynbrook Ct Franklin TN 37064-6789 |
| Practice Telephone | 6153220487 |
| Mailing Telephone | 6154728406 |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2014-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
LDN0000001997 | TN | Dietary & Nutritional Service Providers |
| Street Address |
1211 21ST AVE S 607 MEDICAL ARTS BUILDING |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37232-1320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821060435 | John Matthew Corey | Anesthesiology | 1211 21st Ave S, Medical Arts Building, Room 701, Nashville, TN 37212-2717 | 2006-02-07 |
| 1891319190 | Kayley Ray Lynd | Dietitian, Registered | 1211 21st Ave S, Nashville, TN 37212-2717 | 2020-06-02 |
| 1902382609 | Cynthia C Conrath | Dietitian, Registered | 1211 21st Ave S, Nashville, TN 37212-2717 | 2018-07-16 |
| 1780160895 | Jennifer Coltharp | Dietitian, Registered | 1211 21st Ave S, Nashville, TN 37232-1320 | 2018-07-12 |
| 1437688504 | Jean Wang Wassenaar | Student in an Organized Health Care Education/Training Program | 1211 21st Ave S, Nashville, TN 37212-2717 | 2017-06-12 |
| 1689100018 | Andre Robert Lamothe | Dentist | 1211 21st Ave S, Suite 332, Mab, Nashville, TN 37212-2717 | 2017-05-04 |
| 1023544467 | Tomasz Czechura | Student in an Organized Health Care Education/Training Program | 1211 21st Ave S, Suite 332, Mab, Nashville, TN 37212-2717 | 2017-05-04 |
| 1073971842 | Alexandria Spidalieri | Behavioral Analyst | 1211 21st Ave S, Mab Suite 110, Nashville, TN 37212-2717 | 2016-02-08 |
| 1407233968 | Lindsey Franks | Social Worker | 1211 21st Ave S, Medical Arts Building, Suite 220, Nashville, TN 37212-2717 | 2015-05-04 |
| 1265857916 | Ellen Strickler | Dietitian, Registered | 1211 21st Ave S, 607 Medical Arts Building, Nashville, TN 37232-1320 | 2014-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831717578 | Kathleen Elizabeth Quick | Audiologist | 1215 21st Avenue South, Mce, South Tower, 9th Floor, Nashville, TN 37232 | 2020-07-09 |
| 1609497700 | Alissar El Chediak | Student in an Organized Health Care Education/Training Program | 1161 21st Ave South, Mcn S3307, Division of Nephrology, Nashville, TN 37232 | 2020-04-29 |
| 1386209690 | David William John Armstrong | Student in an Organized Health Care Education/Training Program | 1215 21st Ave S 5th Floor, Nashville, TN 37232 | 2019-05-02 |
| 1063075331 | Margaret Elizabeth Galloway | Student in an Organized Health Care Education/Training Program | Vanderbilt Univ. Medical Center 2301 Vuh, Office of Educational Affairs, Dept. of Anesthesiol, Nashville, TN 37232 | 2019-04-22 |
| 1457832420 | Jill Murphree | Dietitian, Registered | 1211 21st Avenue, Medical Arts Building Ste 514, Nashville, TN 37232 | 2018-08-27 |
| 1861980757 | Ryan Chaliff | Student in an Organized Health Care Education/Training Program | Department of Oral & Maxillofacial Surgery, T-4323a Medical Center North 1161 21st Avenue South, Nashville, TN 37232 | 2018-04-25 |
| 1023505385 | Nelly-ange Kontchou | Student in an Organized Health Care Education/Training Program | 1161 21st Avenue South, Medical Center N, Suite Ccc-4312, Nashville, TN 37232 | 2018-04-21 |
| 1396232377 | Katie Lee Ford | Student in an Organized Health Care Education/Training Program | 2200 Children's Way, 8161 Dot, Nashville, TN 37232 | 2018-04-16 |
| 1073015814 | Nicole Sapone Mandrycky | Nurse Practitioner | 1161 21st Ave. S, Mcn D2106, Nashville, TN 37232 | 2018-03-07 |
| 1992220982 | Alanna Salituro | Physical Therapist | 1215 21st Ave. S., Medical Center East, South Tower, Voi, Nashville, NJ 37232 | 2017-08-10 |
| Find all providers in zip 37232 | ||||
| Taxonomy Code | 133VN1006X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Metabolic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053899096 | Gina Schneider Wey | Dietitian, Registered | 1211 21st Ave South 607 Medical Arts Building, Nashville, TN 37232-1320 | 2018-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124663703 | Courtney Grace Mcmahan | Dietitian, Registered | 6201 Lee Hwy, Chattanooga, TN 37421-0304 | 2019-11-07 |
| 1467942359 | Gerald Keith Painter | Dietitian, Registered | 909 Bluff Rd # 9, Brentwood, TN 37027-8314 | 2018-05-16 |
| 1639573447 | Core Diabetes | Dietitian, Registered | 7921 Long Drive, Chattanooga, TN 37421 | 2014-10-22 |
| 1437278769 | Selena Lynette Reed | Dietitian, Registered | 1759 Old Niles Ferry Rd, Maryville, TN 37803 | 2007-03-28 |
| 1023677028 | Katherine Eileen O'bar | Dietitian, Registered | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2019-06-12 |
| 1922591064 | Donna G. Neves | Dietitian, Registered | 961 Spring Creek Rd, Chattanooga, TN 37412-3909 | 2018-06-13 |
| 1437526159 | Holly Redmon | Dietitian, Registered | 1224 Trotwood Ave, Columbia, TN 38401-4802 | 2015-08-28 |
| 1477941375 | East Tennessee Children's Hospital Association, Inc. | Dietitian, Registered | 2018 Clinch Ave, South Tower 2nd Floor, Knoxville, TN 37916-2301 | 2014-12-30 |
| 1104239284 | Thomas Stone Mcnees | Dietitian, Registered | 53 Memorial Dr, Unit 4000, Mountain Home, TN 37684-3018 | 2014-06-06 |
| 1407138878 | Betsy Bohannon | Dietitian, Registered | 1924 Alcoa Hwy, Department of Family Medicine, U-67, Knoxville, TN 37920-1511 | 2011-09-12 |
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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.