Provider Demographics
NPI:1790359289
Name:MCGREGOR, AMY LEIGH (RDN)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:LEIGH
Last Name:MCGREGOR
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:MRS
Other - First Name:AMY
Other - Middle Name:LEIGH
Other - Last Name:MYERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDN
Mailing Address - Street 1:207 OAK PARK
Mailing Address - Street 2:
Mailing Address - City:MCMINNVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37110
Mailing Address - Country:US
Mailing Address - Phone:931-474-4000
Mailing Address - Fax:931-474-4001
Practice Address - Street 1:207 OAK PARK
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:TN
Practice Address - Zip Code:37110
Practice Address - Country:US
Practice Address - Phone:931-474-4000
Practice Address - Fax:931-474-4001
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-18
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3826133N00000X, 133V00000X
TNLDN0000003826133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133N00000XDietary & Nutritional Service ProvidersNutritionist