Active NPI
Laurel Guimaraes, RDN, LD
- Registered Dietitian
- Peachtree Corners, GA
National Provider Identifier
1144850223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD005466
- Practice address
- 5051 Peachtree Corners Cir Ste 200
Peachtree Corners, GA 30092-2748 - Phone
- (404) 889-2690
- NPI assigned
- Jan 17, 2020
- Last updated
- Jan 17, 2020
- 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 | LD005466 | GA | Primary |
Addresses
Primary practice location
5051 Peachtree Corners Cir Ste 200
Peachtree Corners, GA 30092-2748
Mailing address
5051 Peachtree Corners Cir Ste 200
Peachtree Corners, GA 30092-2748
Phone (404) 889-2690
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 |
|---|---|---|---|
| LD005466 | GA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Zen Journey, LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579219200000",
"number": "1144850223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5051 PEACHTREE CORNERS CIR STE 200",
"city": "PEACHTREE CORNERS",
"state": "GA",
"postal_code": "300922748",
"telephone_number": "404-889-2690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5051 PEACHTREE CORNERS CIR STE 200",
"city": "PEACHTREE CORNERS",
"state": "GA",
"postal_code": "300922748",
"telephone_number": "404-889-2690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUIMARAES",
"first_name": "LAUREL",
"credential": "RDN, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-17",
"last_updated": "2020-01-17",
"certification_date": "2020-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD005466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peachtree Corners, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.