Individual provider Active NPI

Jaymar Saniatan, RD

  • Registered Dietitian
  • Marietta, GA
National Provider Identifier
1033404371
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
896576 Issued in GA
Practice address
1251 Nottoway TRL
Marietta, GA 30066-7811
Phone
(818) 481-4543
NPI assigned
Jun 15, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 896576 CA
Pediatric Nutrition Registered Dietitian 133VN1004X 896576 CA
Metabolic Nutrition Registered Dietitian 133VN1006X 896576 CA
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 896576 GA Primary

Addresses

Primary practice location

1251 Nottoway TRL
Marietta, GA 30066-7811

Mailing address

1251 Nottoway TRL
Marietta, GA 30066-7811
Phone (818) 481-4543

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL text Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
896576CAMDRegistered Dietitian
896576GAMDRegistered Dietitian

Networks

  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

NPI Registry JSON

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1033404371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 NOTTOWAY TRL",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300667811",
            "telephone_number": "818-481-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 NOTTOWAY TRL",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300667811",
            "telephone_number": "818-481-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANIATAN",
        "first_name": "JAYMAR",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-15",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "896576",
            "primary": false
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "CA",
            "license": "896576",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "CA",
            "license": "896576",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "896576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "text",
            "affiliation": "N",
            "endpointDescription": "text messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "visits and follow ups",
            "address_1": "1251 Nottoway Trl",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300667811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.