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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
Street Address |
560 HIGHWAY 138 W |
City | JONESBORO |
State | GA |
Zip Code | 30238-2222 |
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 |
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 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 |
---|---|---|---|---|
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 |
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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.