Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREA KATHERINE CARPENTER, MS, RD, CSP, LD, CBS
ActivePediatric Nutrition · SIGNAL MOUNTAIN, TN
Registration Details
- NPI Number
- 1396562344
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 23, 2024 (1.5782042751558 yrs)
- Last Updated
- Oct 22, 2024
- Licenses
-
4415 (TN)4415 (TN)4415 (TN)
Practice Information
- Address
-
396 TIMBERLINKS DRSIGNAL MOUNTAIN, TN, 373771945Browse TN providers · Browse ZIP 37377
- Phone
- 3347404500
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
- Additional Specialty
- Pediatric Critical Care Nutrition
- Additional Specialty
- Pediatric Nutrition
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.