Denise K. Fields, LICENSED DIETITIAN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD003359 Issued in GA

Practice address

733 Lake Laurie Dr
Valdosta, GA 31605-6421

Phone

(229) 630-3833

NPI assigned

May 11, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Denise K. Boutwell Former name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Medical College of Georgia School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Denise Fields, RDN, LLC

  • Registered Dietitian
  • Valdosta, GA
  • NPI 1588214597

  Dietitian, Registered

  Medicare reassignment NPD Authorized official
• Hospital Authority of Valdosta and Lowndes County, Georgia

  • Ambulance
  • Valdosta, GA
  • NPI 1558141671
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1033343785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 LAKE LAURIE DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316056421",
            "telephone_number": "229-630-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 LAKE LAURIE DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316056421",
            "telephone_number": "229-630-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "DENISE",
        "middle_name": "K.",
        "name_prefix": "Ms.",
        "credential": "LICENSED DIETITIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-11",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD003359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "BOUTWELL",
            "middle_name": "K.",
            "prefix": "MS.",
            "credential": "LICENSED DIETITIAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Margaret C Ferguson, MED CCC-SLP
• Shadereka Ferguson
• Kellie Morgan Fesler, CCC SLP
• Claudia Chendler Field-Di Re
• Ashley Bearden Fielding, PT
• Michael Fields, PHARMD
• Fighter Psychiatry, LLC
• Valerie Fillion
• Mary Elizabeth Finch, RPH
• Chynna Shadai Finnissee

• Registered Dietitian in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.