Individual provider Active NPI

Jourdan Delacruz, OLY, RD, CISSN

  • Registered Dietitian
  • Dunwoody, GA
National Provider Identifier
1083526644
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD009804 Issued in GA
Practice address
41 Perimeter Ctr E Ste 250
Dunwoody, GA 30346-1902
Phone
(972) 523-2114
NPI assigned
Sep 18, 2026
Last updated
Sep 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X LD009804 GA Primary

Addresses

Primary practice location

41 Perimeter Ctr E Ste 250
Dunwoody, GA 30346-1902

Mailing address

1507 Harbour Oaks Rd
Tucker, GA 30084-7932
Phone (972) 523-2114

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

NPI Registry JSON

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

{
    "created_epoch": "1789689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1083526644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 HARBOUR OAKS RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300847932",
            "telephone_number": "972-523-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 PERIMETER CTR E STE 250",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303461902",
            "telephone_number": "972-523-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELACRUZ",
        "first_name": "JOURDAN",
        "credential": "OLY, RD, CISSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-18",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD009804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunwoody, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; 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.