MS. YAQUTULLAH IBRAHEEM (NPI# 1346472834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346472834 |
| Entity Type | Individual |
| Full Name | MS. YAQUTULLAH IBRAHEEM |
| Credential | MS, RD, LD |
| Practice Address |
4071 Codel St Sw Atlanta GA 30331-4355 |
| Mailing Address |
2670 Miriam Ln Decatur GA 30032-5731 |
| Practice Telephone | 4044547356 |
| Mailing Telephone | 4044547356 |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2018-12-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 003181 | GA | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | NPI | 1346472834 | 01 |
| Street Address |
4071 CODEL ST SW |
| City | ATLANTA |
| State | GA |
| Zip Code | 30331-4355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861001174 | Whitney Flemister | Social Worker | 3961 Princeton Lakes Way Sw, Atlanta, GA 30331 | 2020-07-23 |
| 1982237400 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5829 Campbellton Road, S.w, Suite 110, Atlanta, GA 30331 | 2020-02-13 |
| 1295375558 | Drusilla Precious Cudjoe | Behavior Technician | 3800 Camp Creek Parkway Sw, Building 1400, Atlanta, GA 30331 | 2020-01-14 |
| 1497262778 | Champions Pharmacy | Pharmacy | 3886 Princeton Lakes Way Suite 180, Atlanta, GA 30331 | 2018-01-08 |
| 1033629779 | Carmen Ardoin | Counselor | 2636 Martin Luther King Jr. Drive, Suite 12, Atlanta, GA 30331 | 2017-10-09 |
| 1346759974 | Neva R Allison | Nurse Practitioner | 2611 Dayview Ln, Atlanta, GA 30331 | 2017-09-26 |
| 1538678255 | Natalie Mckay | Technician/Technologist | 3915 Cascade Rd, 220, Atlanta, GA 30331 | 2017-09-26 |
| 1700304268 | Tyrone Pipkin | Contractor | 415 Kendrick Terrace Sw, Atlanta, GA 30331 | 2017-09-05 |
| 1073031688 | Kristen Wooldridge | Pharmacist | 3695 Cascade Road, Atlanta, GA 30331 | 2017-09-04 |
| 1548704687 | Advance Pain Management | Health Maintenance Organization | 2950 Stone Hogan Road Connector, Atlanta, GA 30331 | 2016-12-08 |
| Find all providers in zip 30331 | ||||
| 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 |
|---|---|---|---|---|
| 1104425107 | Gabriella Schloss | Dietitian, Registered | 2323 Piedmont Rd Ne Apt 2212, Atlanta, GA 30324-3421 | 2020-10-21 |
| 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 |
| 1215544937 | Chelsi Brown | Dietitian, Registered | 1303 Hill St Se, Atlanta, GA 30315-2407 | 2020-09-27 |
| 1770190498 | Susana Nicole Morphis | Dietitian, Registered | 379 Pine Tree Dr Ne, Atlanta, GA 30305-3414 | 2020-09-27 |
| 1538775960 | Laura Lane Brown | Dietitian, Registered | 2042 Chastain Park Ct Ne, Atlanta, GA 30342-3235 | 2020-09-21 |
| 1689285108 | Negin Navaei | Dietitian, Registered | 155 Smithdun Ln, Atlanta, GA 30350-4111 | 2020-08-10 |
| 1740899517 | Wholesome Fuel, LLC | Dietitian, Registered | 985 Ponce De Leon Ave Ne Unit 310, Atlanta, GA 30306-4278 | 2020-07-28 |
| 1174158919 | Marianella Anzola | Dietitian, Registered | Grady Brookhaven Health Center, 2695 Buford Hwy Ne 200, Atlanta, GA 30324 | 2020-03-11 |
| 1386279487 | Luisa Hammett | Dietitian, Registered | 993d Johnson Fy Rd Ne # 440, Atlanta, GA 30342-1602 | 2020-03-09 |
| Find all providers in ATLANTA | ||||
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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.