Nutrition 411 Beverly Ford Rd LD LLC

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

License

000488 Issued in GA

Legal business name

NUTRITION 411 BEVERLY FORD RD LD LLC

Practice address

2425 Williams St
Augusta, GA 30904-6127

Phone

(706) 589-1582

NPI assigned

Aug 17, 2007

Last updated

Aug 17, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Beverly Ford, RD LDNPI 1861695082

Title

Owner

Phone

(706) 589-1582

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Beverly Bray Ford, RD, LD

  • Renal Nutrition Registered Dietitian
  • Augusta, GA
  • NPI 1861695082

  Nutrition, Renal

  NPD (past) Authorized official

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187308800000",
    "number": "1225220866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 WILLIAMS ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309046127",
            "telephone_number": "706-589-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 WILLIAMS ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309046127",
            "telephone_number": "706-589-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION 411 BEVERLY FORD RD LD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2007-08-17",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-589-1582",
        "authorized_official_credential": "RD LD"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "GA",
            "license": "000488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shah Perwez Numani, MD
• Maria Viviana Nunez Aguilar, D. C.
• Ashley Nunnally, DNP, FNP-C
• Ronald Anthony Nurse
• Julian J. Nussbaum, MD
• Johncross Chidubem Nwadije, DDS
• Ozioma Nwaigwe, MD
• Okechukwu Valentine Nwogbo, M.B.B.S, MD.
• Floribirth Ugo Nwokocha
• Kenyata Nye, RBT

• Renal Nutrition Registered Dietitian in Augusta, GA
• Providers in Augusta, GA by specialty
• Renal Nutrition Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; 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.