Organization Active NPI

Yourfide Dietitian LLC

  • Registered Dietitian
  • Snellville, GA
National Provider Identifier
1184342628
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
YOURFIDE DIETITIAN LLC
Practice address
2330 Scenic Hwy S Ste 203
Snellville, GA 30078-3115
Phone
(770) 881-8651
NPI assigned
Aug 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Authorized official

Name
Mercy Aremu, RDNPI 1093199622
Title
Owner/Dietitian
Phone
(770) 881-8651

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2330 Scenic Hwy S Ste 203
Snellville, GA 30078-3115

Mailing address

2330 Scenic Hwy S Ste 203
Snellville, GA 30078-3115
Phone (770) 881-8651

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL yourfide.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220927002442 GA Part B Supplier - Clinic/Group Practice 8123404233 Receives reassigned benefits from 1 practitioner
Practice locations: Snellville, GA

National Provider Directory

National Provider Directory
Tax ID family
Yourfide Dietitian2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2330 Scenic Hwy S
#203
Snellville, GA 30078
Phone (770) 881-8651

2330 Scenic Hwy S
Ofc Suites
Snellville, GA 30078

867 Boylston St
Fl 16645
Boston, MA 02116

5316 Yacht Haven Grande
#104
St Thomas, VI 00802

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1184342628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 SCENIC HWY S STE 203",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783115",
            "telephone_number": "770-881-8651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 SCENIC HWY S STE 203",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783115",
            "telephone_number": "770-881-8651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOURFIDE DIETITIAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "AREMU",
        "authorized_official_first_name": "MERCY",
        "authorized_official_title_or_position": "OWNER/DIETITIAN",
        "authorized_official_telephone_number": "770-881-8651",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "yourfide.com",
            "affiliation": "N",
            "address_1": "2330 Scenic Hwy S Ste 203",
            "city": "Snellville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300783115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.