Provider Demographics
NPI:1295151603
Name:SMITH, DARLA (MPH, RDN, LDN)
Entity type:Individual
Prefix:
First Name:DARLA
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:MPH, RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-5840
Mailing Address - Country:US
Mailing Address - Phone:865-599-9027
Mailing Address - Fax:865-305-6675
Practice Address - Street 1:1930 ALCOA HWY
Practice Address - Street 2:SUITE 435
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-1500
Practice Address - Country:US
Practice Address - Phone:865-305-8947
Practice Address - Fax:865-305-6675
Is Sole Proprietor?:No
Enumeration Date:2014-03-10
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLDN0000000392133VN1006X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic