MEDICARE: MIRIAM BOUTTE RDN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1588437784
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIRIAM BOUTTE RDN

Provider Business Mailing Address
First Line	:	12701 SACRED OAK CV
Second Line	:
City	:	ARLINGTON
State	:	TN
Zip	:	38002-5057
Country	:	US
Telephone Number	:	615-686-6787
Fax Number	:

Provider Business Practice Location Address
First Line	:	12701 SACRED OAK CV
Second Line	:
City	:	ARLINGTON
State	:	TN
Zip	:	38002-5057
Country	:	US
Telephone Number	:	615-686-6787
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2023
Last Update Date	:	10/14/2025

Similar Medicare Providers

1811750334 — MOM'S VALET DASH, LLC
Practice Location Address:

12701 SACRED OAK CV
ARLINGTON, TN
38002-5057

Practice Phone: 615-686-6787
Practice Fax:

1265390918 — HOLLY ANN BAILEY
Practice Location Address:

19710 HIGHWAY 196
ARLINGTON, TN
38002-4471

Practice Phone: 901-827-3012
Practice Fax:

1528241783 — MRS. LAURA L GREEN
Practice Location Address:

5425 EVENING MIST DR
ARLINGTON, TN
38002-5016

Practice Phone: 901-230-2926
Practice Fax:

1992708002 — HENRY NUBUNG ENYENIHI MD
Practice Location Address:

11121 HIGHWAY 70 , SUITE 101
ARLINGTON, TN
38002-9230

Practice Phone: 901-867-0211
Practice Fax: 901-867-0759

1528027489 — JENNIFER L. ST. CROIX MD
Practice Location Address:

2799 VIRGINIA WOODS PL
ARLINGTON, TN
38002-6113

Practice Phone: 901-413-5992
Practice Fax:

1881642411 — MARILOU HAREN PT
Practice Location Address:

5226 AIRLINE RD STE 131
ARLINGTON, TN
38002-9939

Practice Phone: 901-441-7997
Practice Fax:

Directions to “ MIRIAM BOUTTE RDN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.