Provider Demographics
NPI:1437278769
Name:REED, SELENA LYNETTE (RD, LDN,CDE)
Entity type:Individual
Prefix:MRS
First Name:SELENA
Middle Name:LYNETTE
Last Name:REED
Suffix:
Gender:F
Credentials:RD, LDN,CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1759 OLD NILES FERRY RD
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37803-5505
Mailing Address - Country:US
Mailing Address - Phone:865-356-7399
Mailing Address - Fax:
Practice Address - Street 1:1450 DOWELL SPRINGS BLVD STE 300
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37909-2444
Practice Address - Country:US
Practice Address - Phone:865-637-8812
Practice Address - Fax:865-637-8865
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1587133VN1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic