Active NPI
Kayla Perry, RDN, LD
- Registered Dietitian
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86009311
- Practice address
- 330 Kennestone Hospital Blvd
Marietta, GA 30060-1121 - Phone
- (770) 793-7300
- NPI assigned
- Apr 25, 2019
- 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 | 86009311 | GA | Primary |
Addresses
Primary practice location
330 Kennestone Hospital Blvd
Marietta, GA 30060-1121
Mailing address
111 N Marietta Pkwy NE Apt B206
Marietta, GA 30060-1484
Phone (678) 314-0852
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Life Chiropractic College, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3724 Jefferson St
Suite 104
Austin, TX 78731-6204
Phone (512) 693-7045
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86009311 | GA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Current | Accepting new patients |
Locations
515 S Flower St
#1015
Los Angeles, CA 90071
250 Fillmore St
Unit 150
Denver, CO 80206
Phone (410) 505-0521
260 Peachtree St NW
Ste 2200
Atlanta, GA 30303
Phone (669) 231-6870
500 Westover Dr
Sanford, NC 27330
Phone (478) 766-4000
10260 SW Greenburg Rd
#4
Portland, OR 97223
Phone (513) 845-1656
3724 Jefferson St
Ste 104
Austin, TX 78731
Phone (512) 399-9039
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, 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": "1556150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1245894179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 N MARIETTA PKWY NE APT B206",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601484",
"telephone_number": "678-314-0852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 KENNESTONE HOSPITAL BLVD",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601121",
"telephone_number": "770-793-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "KAYLA",
"credential": "RDN, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-25",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "86009311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
- Kara Pernice, RN, IBCLC
- Mariana J. Perosino, DC
- Adam Perry, M.D.
- Demesha S Perry, PHARM.D.
- John Theodore Perry III, M.D.
- Samantha Nikole Perry
- Jessica Persaud, RBT
- Personal Injury MD LLC
- Personal Recovery Network LLC (The Anxiety & Stress Management Institute)
- Personal Recovery Network LLC (Georgia Behavioral Health Professionals)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.