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Casey Provo, MS, RDN, LDN
NPI 1386163707 · Registered Dietitian · Memphis, TN
Casey Provo, MS, RDN, LDN is a Registered Dietitian provider in Memphis, TN (NPI 1386163707).
Provider details
- NPI number
- 1386163707
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS, RDN, LDN
- Sex
- Female
- Sole proprietor
- No
- License
- 3200 (TN)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1689 Nonconnah Blvd.
Memphis, TN 38132
Phone: (901) 523-8990
Street-level locationGet directions
Mailing address
1156 West Natchez Point
Memphis, TN 38103
Additional practice locations (1)
- 1030 Jefferson Ave.Memphis, TN 38104Phone: (901) 523-8990
Registry dates
- Enumerated
- 2017-09-18
- Last updated
- 2018-03-17
Frequently asked questions
- What is Casey Provo's NPI number?
- Casey Provo's National Provider Identifier (NPI) is 1386163707, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Casey Provo's specialty?
- Casey Provo is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Casey Provo located?
- Casey Provo's practice location on file with NPPES is 1689 Nonconnah Blvd., Memphis, TN 38132.
- What is Casey Provo's phone number?
- The practice phone number listed in the NPPES registry for Casey Provo is (901) 523-8990.
- Is Casey Provo's NPI active?
- Yes — Casey Provo's NPI (1386163707) is active in the NPPES registry as of the last update on 2018-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.