DIET TO LIFESTYLE LLC


Address: 560 Highway 138 W, Jonesboro, GA 30238-2222
Phone: 7064315757

DIET TO LIFESTYLE LLC (NPI# 1922560044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922560044
Entity Type Organization
Organization Name DIET TO LIFESTYLE LLC
Practice Address 560 Highway 138 W
Jonesboro
GA 30238-2222
Mailing Address 5863 El Segundo Way
College Park
GA 30349-7519
Practice Telephone 7064315757
Practice Fax Number 8667324010
Mailing Fax Number 8667324010
Enumeration Date 2019-04-06
Last Update Date 2019-04-06
Authorized Official Name LAMURA ALYN POORE (OWNER)
Authorized Official Telephone 3044373031
Authorized Official Credential MS, RDN, LD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered Dietary & Nutritional Service Providers

Office Location

Street Address 560 HIGHWAY 138 W
City JONESBORO
State GA
Zip Code 30238-2222

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083185656 Pia Bhatti Counselor 560 Highway 138 W, Jonesboro, GA 30238-2222 2018-12-07
1275096901 Sonji Nichole Brown Social Worker 560 Highway 138 W, Jonesboro, GA 30238-2222 2019-04-10
1851862726 Sonjia B Anderson Counselor 560 Highway 138 W, Jonesboro, GA 30238-2222 2018-12-17
1245701838 Pulse Treatment Center, LLC Counselor 560 Highway 138 W, Jonesboro, GA 30238-2222 2018-12-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366969636 K&p Gentle Hnads Homecare Home Health 772 Pointe South Pkwy, Apt. 501, Jonesboro, GA 30238 2017-08-27
1568991214 Rehab Medical, Inc Durable Medical Equipment & Medical Supplies 8568 Highway 85, Jonesboro, GA 30238 2017-06-07
1821472077 Surgivue First Assisting Nurse Practitioner 5865 Sinclair Way, Jonesboro, GA 30238 2015-07-17
1518384106 Visions of Life Behavioral Health Services, Incorporated Counselor 754 Chapman Street, Jonesboro, GA 30238 2014-03-21
1942560206 Terri L Lee Counselor 7899 Waterwheel Way, Jonesboro, GA 30238 2012-05-21
1265704985 Visiting Homecare Support Services, Inc. Home Health 10886 Tara Village Way, Jonesboro, GA 30238 2012-01-27
1518297175 Heavenly Assisted Care, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 10555 Aspenwood Ct, Jonesboro, GA 30238 2010-01-05
1649419821 Carmen Melton Douglas Speech-Language Pathologist 10354 Shepperton Court, Jonesboro, GA 30238 2009-02-12
1205050259 Caryn Ann Grzesiakowski Chiropractor 809 Flint River Road, Suite #4, Jonesboro, GA 30238 2007-04-12
1548325483 Janet Musser Granski Social Worker 110 North Bend Court, Jonesboro, GA 30238 2006-12-22
Find all providers in zip 30238

Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609129287 Tonya Nicole Cooksey Dietitian, Registered 2196 Talbot Rdg, Jonesboro, GA 30236-9018 2012-10-19
1457499915 Patricia Louise Thielemier Dietitian, Registered 538 E Washington Ave, Jonesboro, AR 72401-3109 2007-02-04
1174536312 Ashley Rusher Jones Dietitian, Registered 125 County Road 7452, Jonesboro, AR 72401-7951 2006-08-15
1013522408 Caitlin Rae Cothern Dietitian, Registered 416 E Washington Ave, Jonesboro, AR 72401-3108 2020-09-11
1740830421 Abigail Sarah Mcnatt Dietitian, Registered 416 E Washington Ave, Jonesboro, AR 72401-3108 2019-09-16
1487201703 Mary Daniel Johnson Dietitian, Registered 4802 E Johnson Ave, Jonesboro, AR 72405-8413 2019-08-21
1891230173 Briana Reynolds Dietitian, Registered 225 E Jackson Ave, Jonesboro, AR 72401-3119 2016-12-22
1558714063 Amanda Heringer Dietitian, Registered 1416 E Matthews Ave, St. Bernards Health and Wellness, Jonesboro, AR 72401-4362 2016-07-20
1255765459 Patricia Cronin Abraham Dietitian, Registered 311 S Church St, Suite C, Jonesboro, AR 72401-2913 2013-08-25
1841638954 Stacey Mccarroll Dietitian, Registered 1801 Grant Ave, Jonesboro, AR 72401-6155 2013-06-11
Find all providers in JONESBORO

Competitor

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City JONESBORO
Zip Code 30238

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Dataset Information

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.

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