Practical Wellness LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

PRACTICAL WELLNESS LLC

Practice address

889 Stallings Ave SE
Atlanta, GA 30316-2209

Phone

(770) 280-7732

NPI assigned

Oct 26, 2011

Organization subpart

No

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

Authorized official

Name

Laura Wittke, MS RD LDNPI 1700056207

Title

Owner

Phone

(770) 280-7732

Specialties & licenses 2

Addresses

Practitioners 1

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

• Laura R Wittke, MS RD

  • Registered Dietitian
  • Flagstaff, AZ
  • NPI 1700056207

  Dietitian, Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1265718928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17710",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303160710",
            "telephone_number": "770-280-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "889 STALLINGS AVE SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303162209",
            "telephone_number": "770-280-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTICAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-26",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "WITTKE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-280-7732",
        "authorized_official_credential": "MS RD LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Riley Powers, MD
• Sindhu Prabakaran
• Amit Prabhakar, M.D., MS
• Varsha Prabhakar
• John M Pracht, PA-C
• Mohammad Pradhan, CAA
• Laura Ellen Prado, DNP, NP
• Gonzalo Manuel Prados, D.C.
• Sampath Prahalad, MD
• Jessi M Prahl, ATC/L, OTC

• Registered Dietitian in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.