NPI Code Details Logo

NPI 1437278769

NPI 1437278769 : SELENA LYNETTE REED R.D., L.D.N.,CDE : KNOXVILLE, TN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1437278769
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    SELENA LYNETTE REED R.D., L.D.N.,CDE
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/28/2007
-----------------------------------------------------
    Last Update Date     |    06/18/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1450 DOWELL SPRINGS BLVD STE 300 
-----------------------------------------------------
    City                 |    KNOXVILLE
-----------------------------------------------------
    State                |    TN
-----------------------------------------------------
    Zip                  |    37909-2444
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    865-637-8812
-----------------------------------------------------
    Fax                  |    865-637-8865
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1759 OLD NILES FERRY RD 
-----------------------------------------------------
    City                 |    MARYVILLE
-----------------------------------------------------
    State                |    TN
-----------------------------------------------------
    Zip                  |    37803-5505
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    865-356-7399
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    133VN1006X
-----------------------------------------------------
    Taxonomy Name        |    Metabolic Nutrition Registered Dietitian
-----------------------------------------------------
    License Number       |    1587
-----------------------------------------------------
    License Number State |    TN
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.