Provider Demographics
NPI:1194434456
Name:KOENIGS, TAYLOR (RDN)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:
Last Name:KOENIGS
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2450 SUNRISE RIDGE WAY APT 302
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37921-1262
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2450 SUNRISE RIDGE WAY APT 302
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37921-1262
Practice Address - Country:US
Practice Address - Phone:865-909-7609
Practice Address - Fax:865-240-3169
Is Sole Proprietor?:No
Enumeration Date:2022-11-15
Last Update Date:2023-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN133VN1201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight Management