Healthcare Provider Details

I. General information

NPI: 1912710500
Provider Name (Legal Business Name): COMMUNITY NUTRITION BY ASHLEY LEWIS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2025
Last Update Date: 01/29/2025
Certification Date: 01/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5313 WALNUT CHASE DR
CHRISTIANA TN
37037-2037
US

IV. Provider business mailing address

5313 WALNUT CHASE DR
CHRISTIANA TN
37037-2037
US

V. Phone/Fax

Practice location:
  • Phone: 931-638-1732
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY LEWIS
Title or Position: REGISTERED DIETITIAN/OWNER
Credential:
Phone: 931-638-1732