Active NPI
Deepalakshmi Jayaraman Narayanaswamy, RD LD
- Registered Dietitian
- Suwanee, GA
National Provider Identifier
1083295901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD001614
- Practice address
- 3135 Mathis Airport Pkwy Ste 200
Suwanee, GA 30024-9134 - Phone
- (678) 250-3438
- Fax
- (866) 850-2765
- NPI assigned
- Apr 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD001614 | GA | Primary |
Addresses
Primary practice location
3135 Mathis Airport Pkwy Ste 200
Suwanee, GA 30024-9134
Mailing address
3635 Evondale Glenn
Cumming, GA 30041
Phone (470) 297-7020
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
| License | State | Type | Specialty |
|---|---|---|---|
| LD001614 | GA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition Solutions for Me LLC | Dietitian, Registered | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/8348/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618963200000",
"number": "1083295901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3635 EVONDALE GLENN",
"city": "CUMMING",
"state": "GA",
"postal_code": "30041",
"telephone_number": "470-297-7020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3135 MATHIS AIRPORT PKWY STE 200",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300249134",
"telephone_number": "678-250-3438",
"fax_number": "866-850-2765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NARAYANASWAMY",
"first_name": "DEEPALAKSHMI",
"middle_name": "JAYARAMAN",
"credential": "RD LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-21",
"last_updated": "2021-04-21",
"certification_date": "2021-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD001614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.