NUTRITIONECW LLC (NPI# 1649766874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649766874 |
| Entity Type | Organization |
| Organization Name | NUTRITIONECW LLC |
| Other Organization Name | EUGENIA COUCHOUD-WILKINSON |
| Practice Address |
1755 North Brown Rd Ste.200 Lawrenceville GA 30043 |
| Mailing Address |
263 Heron Lake Ct Lawrenceville GA 30043-6850 |
| Practice Telephone | 6784072159 |
| Practice Fax Number | 6782888234 |
| Mailing Telephone | 6784072159 |
| Mailing Fax Number | 6782888234 |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-07-11 |
| Authorized Official Name | EUGENIA COUCHOUD-WILKINSON (CEO) |
| Authorized Official Telephone | 6784072159 |
| Authorized Official Credential | MS, RDN, LD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | LD003876 | GA | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | NPI TYPE 1 | 1316201015 | 01 |
| Other Name | Type Code |
|---|---|
| Eugenia Couchoud-Wilkinson | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3455 Peachtree Rd Ne, Ste. 500, Atlanta, GA 30326 | 6784072159 | 6782888234 |
| 11340 Lakefield Dr., Suite 200, Johns Creek, GA 30097 | 6784072159 | 6782888234 |
| Street Address |
1755 NORTH BROWN RD STE.200 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483882 | Brittany Javier Dunn | Counselor | 2387 Lawrenceville Huntcrest Way, Lawreneville, GA 30043 | 2020-09-30 |
| 1629614037 | Terrea Gina Bridges | Behavior Technician | 2387 Huntcrest Rd, Lawrenceville, GA 30043 | 2019-11-20 |
| 1215581756 | Elegant Lm Management, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Meadowsong Circle, Lawrenceville, GA 30043 | 2019-08-01 |
| 1093299778 | Shareef Nahas | Clinical Medical Laboratory | 1130 Hurricane Shoals Rd, Suite 1800, Lawrenceville, GA 30043 | 2018-09-19 |
| 1962997965 | David Le Nguyen | Dentist | 2000 Riverside Pkwy Ste 200, Lawrenceville, GA 30043 | 2018-06-22 |
| 1932611688 | Asfc Outreach Therapeutic Counseling Services, LLC | Counselor | 1755 North Brown Road, Suite 200, Lawrenceville, GA 30043 | 2017-11-02 |
| 1518486810 | Shira Brey Williams | Specialist/Technologist | 1030 Collins Hill Rd, Lawrenceville, GA 30043 | 2017-09-18 |
| 1700300795 | Nympha J. Mathurin Meadows | Behavioral Analyst | 650 Oxford Crest Ct, Lawrenceville, GA 30043 | 2017-08-01 |
| 1992245591 | Jagruti Chaudhari | Nurse Practitioner | 855 Buford Drive, Lawrenceville, GA 30043 | 2017-03-01 |
| 1962949628 | Rebekah Snow | Behavioral Analyst | 2387 Huntcrest Way, Lawrenceville, GA 30043 | 2017-01-19 |
| Find all providers in zip 30043 | ||||
| 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 |
|---|---|---|---|---|
| 1346706157 | Catherine Milum | Dietitian, Registered | 1034 Colony Creek Dr, Lawrenceville, GA 30043-7073 | 2019-02-17 |
| 1659864478 | Sarah Elmer | Dietitian, Registered | 965 Oakland Rd Ste 3d, Lawrenceville, GA 30044-3758 | 2018-06-07 |
| 1184171381 | Johane M Filemon | Dietitian, Registered | 1581 Stoney Chase Dr, Lawrenceville, GA 30044-6929 | 2016-09-06 |
| 1720441827 | Ashley Bennett | Dietitian, Registered | 2115 Sugarstone Ct, Lawrenceville, GA 30043-5055 | 2016-04-05 |
| 1770924730 | Gloria Amparo Ochoa-andia | Dietitian, Registered | 761 Rosa Dr, Lawrenceville, GA 30044-6613 | 2013-07-07 |
| 1609211051 | Ellen Cottone | Dietitian, Registered | 41 Coral Tree Ct, Lawrenceville, NJ 08648-4817 | 2013-04-29 |
| 1760618037 | Sabina Hansen | Dietitian, Registered | 31 E Darrah Ln, Lawrenceville, NJ 08648-3763 | 2009-06-01 |
| 1669535209 | Carmen L Bates | Dietitian, Registered | 2570 Riverside Pkwy, Lawrenceville, GA 30046-0897 | 2006-12-18 |
| 1710909809 | Ofelia Bayutas Mutia | Dietitian, Registered | 965 Duluth Hwy Ste 101, Lawrenceville, GA 30043-7316 | 2006-07-24 |
| 1528543808 | Erin Schulberg | Dietitian, Registered | 965 Oakland Rd Ste E, Lawrenceville, GA 30044-3758 | 2018-10-02 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30043 |
Please comment or provide details below to improve the information on NUTRITIONECW LLC.
| 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.