Healthcare Provider Details

I. General information

NPI: 1255267944
Provider Name (Legal Business Name): CARMEL FAITH MACKRELL RDN, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2026
Last Update Date: 06/20/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4321 CAROTHERS PKWY
FRANKLIN TN
37067-8542
US

IV. Provider business mailing address

425 SHOSHONE PL
MURFREESBORO TN
37128-2868
US

V. Phone/Fax

Practice location:
  • Phone: 615-435-5000
  • Fax:
Mailing address:
  • Phone: 615-772-5650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number4917
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: