KHALILAH JOHNSON (NPI# 1043673924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043673924 |
| Entity Type | Individual |
| Full Name | KHALILAH JOHNSON |
| Credential | RD, LD |
| Practice Address |
6940 Roswell Rd 12 F Sandy Springs GA 30328-2263 |
| Practice Telephone | 4049033522 |
| Mailing Telephone | 4049033522 |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2016-03-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | 86064711 | IL | Dietary & Nutritional Service Providers |
| Y | 133V00000X | Dietitian, Registered | LD004579 | GA | Dietary & Nutritional Service Providers |
| Street Address |
6940 ROSWELL RD 12 F |
| City | SANDY SPRINGS |
| State | GA |
| Zip Code | 30328-2263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467910042 | Amber Andrews | Behavior Technician | 750 Hammond Drive Bldg 7 Suite 100, Atlanta, GA 30328 | 2019-03-04 |
| 1215492830 | Ryan William Dubinin | Behavior Technician | 750 Hammond Drive, Building 7, Suite 100, Atlanta, NJ 30328 | 2019-02-07 |
| 1346710142 | Emily Rose Lloyd Swavely | Speech-Language Pathologist | 5825 Glenridge Rd., Building 1, Suite 133, Atlanta, GA 30328 | 2018-12-05 |
| 1063994481 | Mark Edward Brachmanski | Optometrist | 800 Mount Vernon Highway Ne, Suite 130, Atlanta, GA 30328 | 2018-09-01 |
| 1407352578 | Nina Brown | Massage Therapist | 7100 Peachtree Dunwoody Rd Ste 110, Sandy Springs, GA 30328 | 2018-04-05 |
| 1336657741 | Renee Usher Reeves | Assistant Behavior Analyst | 750 Hammond Dr Building 7, Suite 100, Atlanta, GA 30328 | 2018-01-19 |
| 1487168274 | Patricia Nicole Felder | Student in an Organized Health Care Education/Training Program | 270 Carpenter Dr, Ne, Suite # 400, Atlanta, GA 30328 | 2017-12-01 |
| 1447762927 | Ponders Podiatry LLC | Podiatrist | 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 | 2017-10-24 |
| 1770093601 | Syed M Rasheed | Physician Assistant | 5788 Roswell Rd Ste 100, Atlanta, GA 30328 | 2017-10-05 |
| 1437678190 | Jeanette Denise Jones | Counselor | 270 Carpenter Drive, Suite 400, Sandy Springs, GA 30328 | 2017-09-13 |
| Find all providers in zip 30328 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750861274 | Susannah Lee Leach | Dietitian, Registered | 1420 Cimarron Pkwy, Sandy Springs, GA 30350-6859 | 2018-08-14 |
| 1639544596 | Elizabeth Schwarz | Dietitian, Registered | 7450 Hunters Woods Dr, Sandy Springs, GA 30350-5626 | 2015-12-03 |
| 1376964684 | Alicia Wilson | Dietitian, Registered | 8740 Roswell Rd Unit 10d, Sandy Springs, GA 30350-1831 | 2014-01-05 |
| 1205110244 | Roshan Khaki, LLC | Dietitian, Registered | 6851 Roswell Rd Ne, Unit # O-13, Sandy Springs, GA 30328-2456 | 2011-10-10 |
| 1295370120 | Grayson Avendano | Dietitian, Registered | 993 Johnson Ferry Rd, Sandy Springs, GA 30342-1620 | 2019-11-14 |
| 1205394368 | Bethany Wheeler | Dietitian, Registered | 6425 Powers Ferry Rd Ste 250, Sandy Springs, GA 30339-2908 | 2019-03-07 |
| 1104368661 | Nourishing Life LLC | Dietitian, Registered | 218 Johnson Ferry Rd Ne, Sandy Springs, GA 30328-3820 | 2016-11-14 |
| 1003287574 | Juliana T Nagy | Dietitian, Registered | 218 Johnson Ferry Rd Ne, Sandy Springs, GA 30328-3820 | 2015-10-09 |
| 1215290960 | Lauren Lynch Lorenzo | Dietitian, Registered | 5825 Glenridge Dr Ne, Bldg. 2, Suite 107, Sandy Springs, GA 30328-5387 | 2012-06-18 |
| 1225299555 | Benardot Nutrition, LLC | Dietitian, Registered | 5825 Glenridge Dr Ne, Suite 2-107, Sandy Springs, GA 30328-5387 | 2008-06-19 |
| Find all providers in SANDY SPRINGS | ||||
| City | SANDY SPRINGS |
| Zip Code | 30328 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.