Healthcare Provider Details

I. General information

NPI: 1659438422
Provider Name (Legal Business Name): DEANNA C DILLON RD, LDN, CDCES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2007
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4321 CAROTHERS PKWY
FRANKLIN TN
37067-5909
US

IV. Provider business mailing address

4321 CAROTHERS PKWY
FRANKLIN TN
37067-5909
US

V. Phone/Fax

Practice location:
  • Phone: 615-435-5580
  • Fax:
Mailing address:
  • Phone: 615-435-5580
  • Fax: 615-435-5575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License NumberLDN1090
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License NumberLDN1090
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberLDN1090
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: