Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1386163707 Individual Practitioner Female Practitioner

Casey Provo , MS, RDN, LDN

Dietitian, Registered • Memphis, TN

Professional Overview & Biography Verified Profile Summary

Casey Provo, MS, RDN, LDN is a registered healthcare professional specializing in Dietitian, Registered in Memphis, TN. Practice services are available at 1689 NONCONNAH BLVD. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1689 Nonconnah Blvd.

Memphis, TN 38132

Telephone 9015238990
Associated Practice Facility / Clinic
🏢 Va Medical Center Facility NPI 1760420426

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Memphis, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.9 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
143 Specialists

Practicing in Memphis, TN (1277 Statewide)

Telehealth Adoption Rate
0.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License TN 3200

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Secondary Practice Locations

1030 Jefferson Ave.

Memphis, TN 38104

Phone: 9015238990

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Deborah Kartheiser , RN

Registered Nurse - Psychiatric/Mental Health

NPI 1003075268

Registered Nurse

Kenyetta Mcintosh-Jones , LCSW

Social Worker - Clinical

NPI 1003139635

Licensed Clinical Social Worker

NPI 1003195074

Doctor of Pharmacy (Pharm.D.)

Penelope Bland

Pharmacist

NPI 1003287335
Maxwell Mcclure , PT

Physical Medicine & Rehabilitation

NPI 1003501990

Physical Therapist

Martine Johnson , LMSW

Social Worker - Clinical

NPI 1003526823

Licensed Master Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 18, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 18, 2017

Registered at 1689 NONCONNAH BLVD., MEMPHIS, TN 38132 (Tel: 9015238990)

📍
Updated Business Mailing Address September 18, 2017

Registered at 1156 WEST NATCHEZ POINT, #72, MEMPHIS, TN 38103

👤
Provider Name / Credentials Updated September 18, 2017

Recorded as CASEY PROVO, MS, RDN, LDN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2017

Dietitian, Registered (License #3200 in TN)

🟢
Initial NPI Registration & Enumeration September 18, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386163707
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 18, 2017
Last Update: March 17, 2018
Sole Proprietor: No

Mailing Address

1156 West Natchez Point, #72

Memphis, TN 38103

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.