Provider Demographics
NPI:1376302083
Name:PEKARSKE, MEREDITH BYRD (MS, RDN, LDN)
Entity Type:Individual
Prefix:MRS
First Name:MEREDITH
Middle Name:BYRD
Last Name:PEKARSKE
Suffix:
Gender:F
Credentials:MS, RDN, LDN
Other - Prefix:MISS
Other - First Name:MEREDITH
Other - Middle Name:MARIE
Other - Last Name:BYRD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, RDN, LDN
Mailing Address - Street 1:201B WOODMONT CIR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-4747
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:201B WOODMONT CIR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-4747
Practice Address - Country:US
Practice Address - Phone:615-804-8665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-15
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4007133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered