Provider Demographics
NPI:1528608866
Name:NADLER, KRISTINE (MS, RD, CSOWM, LD)
Entity type:Individual
Prefix:
First Name:KRISTINE
Middle Name:
Last Name:NADLER
Suffix:
Gender:F
Credentials:MS, RD, CSOWM, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1196 HORSE TRAIL CT
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-4043
Mailing Address - Country:US
Mailing Address - Phone:513-478-2014
Mailing Address - Fax:
Practice Address - Street 1:355 NEW SHACKLE ISLAND RD STE 128B
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-2479
Practice Address - Country:US
Practice Address - Phone:615-492-6116
Practice Address - Fax:615-334-8962
Is Sole Proprietor?:No
Enumeration Date:2020-01-15
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5045133V00000X, 133VN1201X
TN4308133VN1201X
TN4309133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight Management