PEA POD NUTRITION AND LACTATION SUPPORT (NPI# 1396183190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396183190 |
| Entity Type | Organization |
| Organization Name | PEA POD NUTRITION AND LACTATION SUPPORT |
| Practice Address |
1164 N Highland Ave Ne Atlanta GA 30306-3448 |
| Mailing Address |
Po Box 5493 Atlanta GA 31107-0493 |
| Practice Telephone | 6786076052 |
| Mailing Telephone | 6786076052 |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2013-06-13 |
| Authorized Official Name | ALICIA C SIMPSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6786076052 |
| Authorized Official Credential | MS, RD, LD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | LD004064 | GA | Dietary & Nutritional Service Providers |
| Street Address |
1164 N HIGHLAND AVE NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30306-3448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912201849 | Jennifer Rebecca Tardelli | Counselor | 1164 N Highland Ave Ne, Atlanta, GA 30306-3448 | 2011-01-07 |
| 1790164168 | Kimberley Nicole Speake | Dietitian, Registered | 1164 N Highland Ave Ne, Atlanta, GA 30306-3448 | 2015-05-19 |
| 1306281472 | Alicia C Simpson | Nutritionist | 1164 N Highland Ave Ne, Atlanta, GA 30306-3448 | 2013-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750900858 | Jill Driver | Chiropractor | 1390 Lanier Blvd Ne, 1409-a, Atlanta, GA 30306 | 2020-04-09 |
| 1447737697 | Heather Nicole Vansau | Speech-Language Pathologist | 1272 Stillwood Dr Ne, Atlanta, GA 30306 | 2018-07-20 |
| 1871095919 | Michelle Ruth Orovitz | Nurse Practitioner | 1140 Briarcliff Rd Ne Apt 1, Atlanta, GA 30306 | 2018-03-05 |
| 1497261960 | Rockwell Oral and Facial Surgery LLC | Dentist | 675 N. Highland Ave Ne, Suite 100, Atlanta, GA 30306 | 2017-12-20 |
| 1518414101 | David Alan Sturgess Jr. | Counselor | 696 Courtenay Dr, Ne, Atlanta, GA 30306 | 2016-09-01 |
| 1952778565 | Kristen Jugs | Speech-Language Pathologist | 609 Virginia Ave Ne Apt 4108, None, Atlanta, GA 30306 | 2015-08-31 |
| 1962749655 | Robert B Tersak | Pharmacist | 1001 Ponce De Leon Avenue Ne, Atlanta, GA 30306 | 2013-01-15 |
| 1730434812 | Poonam Bhakta Hurley | Physical Therapist | 842 N Highland Ave Ne Ste Ter, Atlanta, GA 30306 | 2012-07-16 |
| 1609158963 | Centers for Disease Control and Prevention, Us Public Health Service | Public Health or Welfare | 1600 Clifton Rd, Ms E46, Atlanta, GA 30306 | 2011-09-13 |
| 1598045965 | April Kooy | Physician Assistant | 1000 Briarcliff Road Ne, Atlanta, GA 30306 | 2011-08-17 |
| Find all providers in zip 30306 | ||||
| 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.