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ASHLYN OLIVIA COBBLE RD
NPI 1902732217
Dietitian, Registered in Kingsport, TN

Active since June 23, 2026
2205 PAVILION DR STE 101, KINGSPORT, TN 37660(423) 392-6000(423) 392-6030 Get Directions Write a Review

NPPES record last updated: August 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ashlyn Olivia Cobble Rd NPPES

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

ASHLYN OLIVIA COBBLE RD (NPI 1902732217) is an individual dietitian, registered in Kingsport, Tennessee, licensed in Tennessee (5011) and active in the NPI registry since June 2026. She maintains a secondary practice location in Kingsport and is a graduate of East Tennessee State University Quillen College Of Medicine (2024).

NPPES Registry Identity

NPI1902732217
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameASHLYN OLIVIA COBBLECredential: RD
Location Address2205 PAVILION DR STE 101Kingsport, TN 37660-4641
Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 952-2111
Phone(423) 392-6000
Fax(423) 392-6030
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2024
Enumeration DateJune 23, 2026
Last NPPES UpdateAugust 21, 2026
NPPES CertifiedAugust 21, 2026
✔ NPI 1902732217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in TN · 5011
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.
2205 PAVILION DR STE 101, Kingsport, TN 37660
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Secondary Practice Location 1

Location 12000 Brookside DrKingsport, TN 37660-4627 · Phone (423) 857-7385

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ashlyn Olivia Cobble Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557828290
PECOS Enrollment IDI20260812002696

Medicare Billing Reassignment

Medicare enrollment records show Ashlyn Cobble reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Blue Ridge Medical Management Corporation
Same address
Pulmonary Disease
2205 PAVILION DR, SUITE 201B
Kingsport, TN 37660
  • Reassigned Medicare billing, Tennessee enrollment
  • 496 clinicians in this Medicare group
NPI 1164794525 (423) 857-7650

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

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROLINE KNAUSS CHESTNUT
Dietitian, Registered
2205 PAVILION DR STE 101
KINGSPORT, TN 37660
Sullivan County (423) 392-6000
KATHRYN TREMAINE
Dietitian, Registered
2205 PAVILION DR STE 101
KINGSPORT, TN 37660
Sullivan County (423) 392-6000
DR. NERISSA LICUP MD
Internal Medicine
2205 PAVILION DR STE 101
KINGSPORT, TN 37660
Sullivan County (423) 392-6000
DR. EMILY ATWOOD AUD
Audiologist
2205 PAVILION DR STE 101
KINGSPORT, TN 37660
Sullivan County (423) 392-6000
DR. HOLLY DILLON DOCKERY DNP, AGPCNP-BC, RN
Nurse Practitioner (Gerontology)
2205 PAVILION DR STE 101
KINGSPORT, TN 37660
Sullivan County (423) 857-6466

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 Ashlyn Cobble's NPI number?

The NPI number for Ashlyn Cobble is 1902732217. It was assigned to this individual provider in the NPPES registry on June 23, 2026.

Where is Ashlyn Cobble located?

Ashlyn Cobble practices at 2205 Pavilion Dr Ste 101, Kingsport, TN 37660. The listed phone number is (423) 392-6000.

What is Ashlyn Cobble's specialty?

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

Is Ashlyn Cobble enrolled in Medicare?

Yes. Ashlyn Cobble is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ashlyn Cobble's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashlyn Cobble reassigns Medicare benefits to Blue Ridge Medical Management Corporation (Kingsport, TN). The 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 Ashlyn Cobble's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ashlyn Cobble was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.