MARY BLYTHE PURYEAR (NPI# 1275133126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275133126 |
| Entity Type | Individual |
| Full Name | MARY BLYTHE PURYEAR |
| Practice Address |
41 Perimeter Ctr E Ste 250 Dunwoody GA 30346-1902 |
| Mailing Address |
Po Box 13289 Durham NC 27709-3289 |
| Practice Telephone | 7708713750 |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | LD005112 | GA | Dietary & Nutritional Service Providers |
| Street Address |
41 PERIMETER CTR E STE 250 |
| City | DUNWOODY |
| State | GA |
| Zip Code | 30346-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952778441 | Kaitlyn Victoria Fredrick | Nurse Practitioner | 41 Perimeter Ctr E Ste 250, Dunwoody, GA 30346 | 2015-08-31 |
| 1609488667 | Katherine Burden | Counselor | 41 Perimeter Ctr E Ste 250, Dunwoody, GA 30346-1902 | 2020-08-20 |
| 1578189460 | Kara Stultz | Counselor | 41 Perimeter Ctr E Ste 250, Dunwoody, GA 30346-1902 | 2020-06-17 |
| 1922623289 | Whitney N Mckenzie | Counselor | 41 Perimeter Ctr E Ste 250, Dunwoody, GA 30346-1902 | 2020-06-12 |
| 1255956595 | Helena Wells Ross | Dietitian, Registered | 41 Perimeter Ctr E Ste 250, Dunwoody, GA 30346-1902 | 2020-06-12 |
| 1427699362 | Mary V Cooper | Nurse Practitioner | 41 Perimeter Ctr E Ste 250, Dunwoody, GA 30346-1902 | 2019-10-02 |
| 1659931178 | Lauren Marie Watry | Nurse Practitioner | 41 Perimeter Ctr E Ste 250, Dunwoody, GA 30346-1902 | 2019-06-17 |
| 1568929073 | Meghan Katherine Croak | Nurse Practitioner | 41 Perimeter Ctr E Ste 250, Dunwoody, GA 30346-1902 | 2019-02-21 |
| 1215401039 | Tiffany J Rattery | Nurse Practitioner | 41 Perimeter Ctr E Ste 250, Dunwoody, GA 30346-1902 | 2019-01-15 |
| 1861972036 | Margaret Ann Martinez | Psychologist | 41 Perimeter Ctr E Ste 250, Dunwoody, GA 30346-1902 | 2018-08-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730694332 | Man Fung Lam | Behavioral Analyst | 302 Perimeter Ctr N Apt 2431, Atlanta, GA 30346 | 2017-12-05 |
| 1518413897 | Terre Cheely | Nurse Practitioner | 2 Ravinia Drive Suite 500, Atlanta, GA 30346 | 2016-08-28 |
| 1790139954 | Rachel Brandeis | Dietitian, Registered | 400 Perimeter Center Terrace North, Suite 900, Atlanta, GA 30346 | 2016-04-14 |
| 1689917965 | Taryn Abrams | Psychiatry & Neurology | 41 Perimeter Center East, Suite 250, Dunwoody, GA 30346 | 2013-04-04 |
| 1154683381 | Coby John Lund | Behavioral Analyst | 53 Perimeter Center East, Suite 350, Atlanta, GA 30346 | 2012-06-13 |
| 1306113832 | Shannah Melanie Bachar | Behavioral Analyst | 53 Perimeter Center East Suite 350, Atlanta, GA 30346 | 2011-11-29 |
| 1740561125 | Jblb Holdings, LLC | Electrodiagnostic Medicine | 400 Perimeter Center Ter North, Suite 900, Atlanta, GA 30346 | 2011-08-30 |
| 1215109996 | Alphonso D Porter | Technician/Technologist | 3118-a Washington Rd, East Point, GA 30346 | 2008-04-02 |
| 1437275005 | Elaine Gilner Friedman | Social Worker | 12234 Madison Drive, Atlanta, GA 30346 | 2007-03-22 |
| 1225123383 | Easter Seals North Georgia, Inc. | Voluntary or Charitable | 53 Perimeter Center East Suite 550, Atlanta, GA 30346 | 2006-10-04 |
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| 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 |
|---|---|---|---|---|
| 1639692023 | Kari Martinez | Dietitian, Registered | 5521 N Peachtree Rd, Dunwoody, GA 30338-3105 | 2017-07-18 |
| 1255956595 | Helena Wells Ross | Dietitian, Registered | 41 Perimeter Ctr E Ste 250, Dunwoody, GA 30346-1902 | 2020-06-12 |
| 1396198925 | Candace Crowley | Dietitian, Registered | 5475 Chamblee Dunwoody Rd, #880, Dunwoody, GA 30338-4114 | 2016-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305486 | Susanne Mackinnon | Dietitian, Registered | 2678 Hummingbird Dr Nw, Duluth, GA 30096-3998 | 2020-10-26 |
| 1104425107 | Gabriella Schloss | Dietitian, Registered | 2323 Piedmont Rd Ne Apt 2212, Atlanta, GA 30324-3421 | 2020-10-21 |
| 1033717830 | Ariathni Pinacas Powell | Dietitian, Registered | 5761 Hancock Dr, Social Circle, GA 30025-4705 | 2020-10-14 |
| 1467050716 | Louise Brown | Dietitian, Registered | 4075 Cherry Grove Rd, Ball Ground, GA 30107-3295 | 2020-10-09 |
| 1154928513 | Alicia Adams Polk | Dietitian, Registered | 360 Southgate Dr, Locust Grove, GA 30248-4235 | 2020-10-07 |
| 1033716774 | Shannon Busby Bagga | Dietitian, Registered | 1806 Dekalb Ave Ne, Atlanta, GA 30307 | 2020-10-06 |
| 1881291532 | Noelle Yaeger Oleary | Dietitian, Registered | 2591 Birchwood Dr Ne, Atlanta, GA 30305-3819 | 2020-10-06 |
| 1447857149 | Christine Marie Rives | Dietitian, Registered | 4 Skidaway Village Walk, Savannah, GA 31411-2914 | 2020-10-06 |
| 1356948293 | Brittany Mitchell Moment | Dietitian, Registered | 2913 Allie Rd, Greenville, GA 30222-2337 | 2020-10-05 |
| 1003413162 | Deanna Dae Crismon | Dietitian, Registered | 511 Ragsdale Ter, Woodstock, GA 30188-4463 | 2020-10-02 |
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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.