Holly Marie Bundrant, PH.D., R.D., L.D.N.
NPI 1174640494ActiveIndividual· Dietitian, Registered· Cookeville, TN
Dietitian, Registered (PH.D., R.D., L.D.N.) in Cookeville, Tennessee, licensed in TN, with an NPI issued in March 2007.
Overview
| NPI | 1174640494 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D., R.D., L.D.N. |
| Sole proprietor | Yes |
| NPI issued | Mar 23, 2007 |
| Last updated in NPPES | Sep 15, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | LDN0000001650 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 20 registered dietitians in Cookeville · All registered dietitians in Tennessee