EAST TN NUTRITION AND WELLNESS
NPI 1386379071
Dietitian, Registered in Knoxville, TN

Active since July 18, 2022
200 PROSPERITY DR, KNOXVILLE, TN 37923(865) 290-0110(865) 290-0140 Get Directions Write a Review

NPPES record last updated: July 24, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About East Tn Nutrition And Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST TN NUTRITION AND WELLNESS (NPI 1386379071) is a healthcare organization registered as a dietitian, registered in Knoxville, Tennessee and active in the NPI registry since July 2022. The organization lists Krystal Cameron, Registered Dietitian/owner, as its authorized official.

NPPES Registry Identity

NPI1386379071
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameEAST TN NUTRITION AND WELLNESS
Location Address200 PROSPERITY DRKnoxville, TN 37923-4718
Mailing Address3420 New Corinth RdBlaine, TN 37709-5623 · (865) 712-4428 · Fax (865) 290-0140
Fax(865) 290-0140
Organization SubpartNo
Authorized OfficialKrystal CameronRegistered Dietitian/owner · (865) 712-4428
Enumeration DateJuly 18, 2022
Last NPPES UpdateJuly 24, 2022
NPPES CertifiedJuly 24, 2022
✔ NPI 1386379071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
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.
Also ListedNutritionist · Nutrition, EducationTaxonomy 133NN1002X
200 PROSPERITY DR, Knoxville, TN 37923

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

East Tn Nutrition And Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to East Tn Nutrition And Wellness, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Registered Dietitian or Nutrition Professional
NPI 1881883114
200 PROSPERITY DR
Knoxville, TN 37923
(865) 290-0110
✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1780838920
200 PROSPERITY DR
Knoxville, TN 37923
(865) 290-0110
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is East Tn Nutrition And Wellness's NPI number?

The NPI number for East Tn Nutrition And Wellness is 1386379071. It was assigned to this organization in the NPPES registry on July 18, 2022.

Where is East Tn Nutrition And Wellness located?

East Tn Nutrition And Wellness is located at 200 Prosperity Dr, Knoxville, TN 37923. The listed phone number is (865) 290-0110.

What is East Tn Nutrition And Wellness's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is East Tn Nutrition And Wellness enrolled in Medicare?

Yes. East Tn Nutrition And Wellness is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through East Tn Nutrition And Wellness?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Registered Dietitian or Nutrition Professional, reassign their Medicare billing to East Tn Nutrition And Wellness. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for East Tn Nutrition And Wellness was last updated on July 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.