AMBER P GOURLEY (NPI# 1760814271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760814271 |
| Entity Type | Individual |
| Full Name | AMBER P GOURLEY |
| Credential | RD |
| Practice Address |
444 Clinchfield St Ste 201 Kingsport TN 37660-3863 |
| Mailing Address |
2866 Carroll Creek Rd Johnson City TN 37615-4541 |
| Practice Telephone | 4232302113 |
| Practice Fax Number | 4232302112 |
| Mailing Telephone | 4234394071 |
| Mailing Fax Number | 4234394060 |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2018-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 2620 | TN | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | ST LIC | 2620 | 01 |
| Street Address |
444 CLINCHFIELD ST STE 201 |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37660-3863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821514464 | Association of University Radiologists, PC | Radiology | 444 Clinchfield St Ste 201, Kingsport, TN 37660-3863 | 2017-08-15 |
| 1003270968 | Brent Baker | Family Medicine | 444 Clinchfield St Ste 201, Kingsport, TN 37660-3863 | 2016-04-07 |
| 1114380771 | Zachary Linuel Sumpter | Family Medicine | 444 Clinchfield St Ste 201, Kingsport, TN 37660-3863 | 2016-03-31 |
| 1912325127 | Sean Joseph Watson | Family Medicine | 444 Clinchfield St Ste 201, Kingsport, TN 37660 | 2014-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
| 1700437621 | Tammy Denise Leblanc | Technician | 125 Lancer Rd, Kingsport, TN 37660 | 2019-09-23 |
| 1831743392 | Independent Physical Therapy | Occupational Therapist | 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 | 2019-08-01 |
| 1871095315 | Macie Anderson | Nurse Practitioner | 411 Clay St, Kingsport, TN 37660 | 2018-03-01 |
| 1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
| 1174038749 | Sbh-kingsport | Psychiatric Hospital | 1025 Executive Park Blvd, Kingsport, TN 37660 | 2017-12-05 |
| 1548771447 | Sara B Ball | Registered Nurse | 111 W Stone Dr Ste 240, Kingsport, TN 37660 | 2017-10-18 |
| 1821525361 | Ashley Brook Weems | Nurse Practitioner | Six Sheridan Square Suite 100, Kingsport, TN 37660 | 2017-05-15 |
| 1639625643 | Stephanie H Garris | Nurse Practitioner | 117 W Sevier Ave Ste 120, Kingsport, TN 37660 | 2016-08-30 |
| 1073965679 | Teresa Anne Starke | Physician Assistant | 8 Sheridan Square, Suite 110, Kingsport, TN 37660 | 2016-07-07 |
| Find all providers in zip 37660 | ||||
| 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 |
|---|---|---|---|---|
| 1831653328 | Sandra Jennine Reese | Dietitian, Registered | 132 W Sevier Ave Ste 2, Kingsport, TN 37660-3764 | 2019-01-29 |
| 1376159814 | Calle M Pisk | Dietitian, Registered | 100 Netherland Ln, Kingsport, TN 37660-7245 | 2020-09-21 |
| 1194095430 | Carol V Carter | Dietitian, Registered | 132 W Sevier Ave, Suite 2, Kingsport, TN 37660-3764 | 2012-01-04 |
| 1194955393 | Jennifer Walker | Dietitian, Registered | 105 W Stone Dr, Ste: 2d, Kingsport, TN 37660-3256 | 2009-07-22 |
| 1518105683 | David Fox Talley | Dietitian, Registered | 105 W Stone Dr, Ste 2d, Kingsport, TN 37660-3256 | 2009-01-28 |
| 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 |
| 1659970960 | Lyndsey Cooper | Dietitian, Registered | 1060 W Creek Coyote Trl Apt 1507, Clarksville, TN 37042-8267 | 2020-10-19 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.