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CASTLE CLINIC PLC NPI 1447260765


NPI Information

NPI: 1447260765
Provider Name: CASTLE CLINIC PLC
Classification: Dietitian, Registered - 133V00000X
Entity Type: Organization
Address:
1416 S ROAN ST
JOHNSON CITY, TN
ZIP 37601
Phone: (423) 979-6257
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CASTLE CLINIC PLC is a dietitian registered in Johnson City, TN. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. CASTLE CLINIC PLC NPI is 1447260765. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1416 S ROAN ST
JOHNSON CITY, TN
ZIP 37601-332
Phone: (423) 979-6257
Fax: (423) 979-6285

The provider's authorized official is Robert C Allen .
The authorized official title is President and has the following contact phone number (423) 979-6257.

The enumeration date for this NPI number is 8/9/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133V00000XDietitian, RegisteredYes
2207Q00000XFamily MedicineX
3207R00000XInternal MedicineX
4225100000XPhysical TherapistX
5363L00000XNurse PractitionerX
6208200000XPlastic SurgeryX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13721557MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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