Basic Information
| Provider Information | |||||||||
| NPI: | 1245761022 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ZEHNTNER | ||||||||
| FirstName: | KATHERINE | ||||||||
| MiddleName: | FOX | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | RD,LDN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 300 20TH AVE N STE 403 | ||||||||
| Address2: | |||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372032131 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6298885125 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 791 OLD HICKORY BLVD | ||||||||
| Address2: | |||||||||
| City: | BRENTWOOD | ||||||||
| State: | TN | ||||||||
| PostalCode: | 37027 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6298885125 | ||||||||
| FaxNumber: | 6298885126 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/23/2017 | ||||||||
| LastUpdateDate: | 08/12/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 133V00000X | LDN0000001321 | TN | Y | Dietary & Nutritional Service Providers | Dietitian, Registered | 133V00000X | 813380 | TN | N | Dietary & Nutritional Service Providers | Dietitian, Registered |
ID Information
| ID | Type | State | Issuer | Description | 103I717720 | 01 | TN | TN MEDICARE | OTHER | 6122576 | 01 | TN | BCBS | OTHER |