MRS. OLIVIA HAEBERLE (NPI# 1326511940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326511940 |
| Entity Type | Individual |
| Full Name | MRS. OLIVIA HAEBERLE |
| Credential | RD/LD |
| Practice Address |
4113 Daniel Green Trl Se Smyrna GA 30080-6310 |
| Practice Telephone | 4043122131 |
| Mailing Telephone | 4043122131 |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-01-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
002719 | GA | Dietary & Nutritional Service Providers |
| Y | 133V00000X | Dietitian, Registered | 002719 | GA | Dietary & Nutritional Service Providers |
| N | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
002719 | GA | Dietary & Nutritional Service Providers |
| N | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
002719 | GA | Dietary & Nutritional Service Providers |
| N | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
002719 | GA | Ambulatory Health Care Facilities |
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
002719 | GA | Ambulatory Health Care Facilities |
| N | 261QP0904X |
Clinic/Center Specialization: Public Health, Federal |
002719 | GA | Ambulatory Health Care Facilities |
| N | 282N00000X | General Acute Care Hospital | 002719 | GA | Hospitals |
| N | 174200000X | Meals | 002719 | GA | Other Service Providers |
| N | 282E00000X | Long Term Care Hospital | 002719 | GA | Hospitals |
| N | 405300000X | Prevention Professional | 002719 | GA | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11 Upper Riverdale Road, Riverdale, GA 30274 | 7709918000 |
| Street Address |
4113 DANIEL GREEN TRL SE |
| City | SMYRNA |
| State | GA |
| Zip Code | 30080-6310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205169 | Suny Varughese | Nurse Practitioner | Minute Clinic, 2994 Atlanta Rd, Se, Smyrna, GA 30080 | 2020-08-11 |
| 1891287645 | Provident Group - Creekside Properties LLC | Alzheimer Center (Dementia Center) | 4838 South Cobb Drive, Smyrna, GA 30080 | 2018-06-06 |
| 1710490743 | Alina Rim | Registered Nurse | 4532 Chelton Ct Se, Smyrna, GA 30080 | 2017-11-13 |
| 1932626488 | Richard Kyle Davis | Pharmacist | 2955 Atlanta Rd Se, Smyrna, GA 30080 | 2017-08-25 |
| 1982071163 | Amelia Rafaela Turrubiates-huacuja | Counselor | 1246-c Concord Rd, Suite 101, Smyrna, GA 30080 | 2015-08-24 |
| 1275919755 | Anne Waldner Rohling | Physical Therapist | 1155 Concord Rd Se Ste 210, Smyrna, GA 30080 | 2015-08-06 |
| 1790167856 | Kay Yetunde Johnson | Nurse Practitioner | 3001 Lusk Dr, Smyrna, GA 30080 | 2015-06-25 |
| 1689055436 | Anew You Couneling, LLC | Community/Behavioral Health | 3188 Atlanta Rd, Smyrna, GA 30080 | 2015-06-17 |
| 1457766370 | Trondi Jerry | Counselor | 3381 Atlanta Rd Se, Smyrna, GA 30080 | 2014-06-30 |
| 1093081903 | Ashish Kapila | Podiatrist | Wellstar Podiatry, 4441 Atlanta Rd Se Suite 215, Smyrna, GA 30080 | 2012-03-25 |
| Find all providers in zip 30080 | ||||
| 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 |
|---|---|---|---|---|
| 1477166387 | Jessie D Gall | Dietitian, Registered | 3700 N Cooper Lake Rd Se, Smyrna, GA 30082-3316 | 2020-08-29 |
| 1942863238 | Elizabeth Kate Thomas | Dietitian, Registered | 4045 Orchard Rd Se Ste 230, Smyrna, GA 30080-4905 | 2019-04-22 |
| 1780117788 | Bethany Helms Thomson | Dietitian, Registered | 602 Rock Springs Rd, Smyrna, TN 37167-4100 | 2017-04-06 |
| 1154871747 | Valarie Evanoff | Dietitian, Registered | 1724 Healey Walk, Smyrna, GA 30082-5068 | 2016-10-07 |
| 1861847857 | Julie Paszkiewicz | Dietitian, Registered | 2147 Lake Park Dr Se Apt E, Smyrna, GA 30080-7675 | 2016-04-27 |
| 1760858138 | Melissa Young | Dietitian, Registered | 4085 Vinings Mill Trl Se, Smyrna, GA 30080-6497 | 2015-08-19 |
| 1578957379 | Sandra Gloss | Dietitian, Registered | 470 Fletcher Dr, Smyrna, DE 19977-2818 | 2015-03-19 |
| 1447306758 | Suzanne S Gannon | Dietitian, Registered | 109 Walnut St, Smyrna, TN 37167-3219 | 2007-01-27 |
| 1336753474 | Barbara Eutsey Oldham | Dietitian, Registered | 4045 Orchard Rd Se Ste 230, Smyrna, GA 30080-4905 | 2020-09-05 |
| 1245843622 | Alayna Horvath | Dietitian, Registered | 202 Red Hawk Blvd, Smyrna, TN 37167-6753 | 2020-08-26 |
| Find all providers in SMYRNA | ||||
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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.