THE NILE WELLNESS CENTER, INC. (NPI# 1942575006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942575006 |
| Entity Type | Organization |
| Organization Name | THE NILE WELLNESS CENTER, INC. |
| Practice Address |
3805 Presidential Pkwy Suite 106 Atlanta GA 30340-3720 |
| Mailing Address |
Po Box 56147 Atlanta GA 30343-0147 |
| Practice Telephone | 7704541363 |
| Mailing Telephone | 7704541363 |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2012-03-21 |
| Authorized Official Name | MRS. DEBORAH BROOKS IMANI (CEO) |
| Authorized Official Telephone | 4049329405 |
| Authorized Official Credential | COLON HYDROTHERA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133N00000X | Nutritionist | NY | Dietary & Nutritional Service Providers |
| Street Address |
3805 PRESIDENTIAL PKWY SUITE 106 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30340-3720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134570310 | Deborah Imani | Health Educator | 3805 Presidential Pkwy, Suite 106, Atlanta, GA 30340-3720 | 2016-06-28 |
| 1588039044 | Impedio Healthcare, Inc | Clinic/Center | 3805 Presidential Pkwy, Ste 106, Atlanta, GA 30340-3720 | 2015-12-09 |
| 1831564384 | Impedio Health, LLC | Clinic/Center | 3805 Presidential Pkwy, Ste 106, Atlanta, GA 30340-3720 | 2015-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003300757 | Moensania Carisa Phillips | Nurse Practitioner | 4004 Evans Road, Atlanta, GA 30340 | 2018-06-17 |
| 1326545534 | Teri Lynn Hill | Case Manager/Care Coordinator | 2300 Global Forum Blvd Apt 511, Atlanta, GA 30340 | 2018-04-12 |
| 1174043541 | Woohyeon Cho | Acupuncturist | 5441 Buford Hwy Ne Ste 202, Doraville, GA 30340 | 2017-06-26 |
| 1326599614 | Tara Vanvranken | Chiropractor | 3166 Chestnut Dr Ste 100&200, Atlanta, GA 30340 | 2016-10-20 |
| 1073900056 | Presly Ouy | Pharmacist | 3975 English Oak Dr, Atlanta, GA 30340 | 2015-04-17 |
| 1336389063 | Jose R Muniz | Licensed Practical Nurse | 3061 Oakcliff Rd, 149, Doraville, GA 30340 | 2009-02-20 |
| 1316109200 | John David Hamilton | Radiology | 4000 Dekalb Technology Pkwy Suite 200, Kaiser Permanente Dekalb Technology Center, Atlanta, GA 30340 | 2008-07-01 |
| 1104003979 | Mariya A. Fishman | Radiology | 4000 Dekalb Technology Parkway, Ste. 400 Kaiser Permanente-dekalb Technology Center, Atlanta, GA 30340 | 2008-01-23 |
| 1346441029 | Lana Marie Chase | Clinical Nurse Specialist | 3490 Bowling Green Way, Atlanta, GA 30340 | 2007-05-30 |
| 1225242399 | Expert Pain Clinic LLC | Chiropractor | 3042 Oakciff Rd, Site210, Doraville, GA 30340 | 2007-05-09 |
| Find all providers in zip 30340 | ||||
| Taxonomy Code | 133N00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation. |
| Notes: Source: (1) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881135929 | Daniela Sozanski | Nutritionist | 61 W Belle Isle Rd, Atlanta, GA 30342-2533 | 2017-03-08 |
| 1528501723 | Ant-aging Queen | Nutritionist | 1801 Atlanta Medical Clinic, Suite 250, Atlanta, GA 30309 | 2016-11-21 |
| 1720442577 | Stephanie Lipscombe Selassie | Nutritionist | 255 Southerland Ter Ne, Atlanta, GA 30307-2301 | 2016-04-07 |
| 1205218872 | Caitlin Waddle | Nutritionist | 2026 Village Crest Drive Nw, Atlanta, GA 30318 | 2015-06-19 |
| 1790180131 | Johnny L Johnson | Nutritionist | 3030 Cambelton Rd, Atlanta, GA 30311 | 2014-10-28 |
| 1891044301 | Angela Darlene Scott | Nutritionist | 1212 Utoy Springs Rd Sw Apt 28, Atlanta, GA 30331-2119 | 2012-08-30 |
| 1215206610 | Kayla R Anderson | Nutritionist | 181 Armour Drive, Atlanta, GA 30324 | 2011-12-14 |
| 1710131941 | Joy S Edwards | Nutritionist | 270 Carpenter Dr Ste 500, Atlanta, GA 30328-4946 | 2008-11-14 |
| 1013110303 | Barbara S Braswell | Nutritionist | 1750 Marcel Ave Sw, Atlanta, GA 30311-4116 | 2007-06-06 |
| 1437634417 | Iyabo O Otekunrin | Nutritionist | 1000 Briarcliff Rd Ne, Atlanta, GA 30306-2618 | 2018-09-26 |
| 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.