Active NPI
Karen J. Andry, DIETITIAN
- Registered Dietitian
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD000918
- Practice address
- 35 Collier Road
Atlanta, GA 30309 - Phone
- (404) 350-7955
- Fax
- (404) 350-9115
- NPI assigned
- Jul 22, 2011
- Last updated
- Jul 29, 2011
- 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 | LD000918 | GA | Primary |
Addresses
Primary practice location
35 Collier Road
Atlanta, GA 30309
Mailing address
5115 New Peachtree Road
Suite 202
Chamblee, GA 30341-2326
Phone (678) 336-5951
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285912477 | Other | GA | NPI |
Other names 1
- Karen Jerris Andry
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
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- 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 |
|---|---|---|---|
| LD000918 | GA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Current | Accepting new patients |
| Mochi Medical Ca PC | Past | Accepting new patients | |
| Saint Francis Medical Center | Past | Accepting new patients |
Locations
500 Westover Dr
Sanford, NC 27330
Phone (478) 766-4000
3724 Jefferson St
Ste 104
Austin, TX 78731
Phone (512) 399-9039
Organizations & group practices 3
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.
-
dba Mochi Medical West
- Obesity Medicine (Family Medicine) Physician
- San Francisco, CA
- NPI 1174303374
-
- Internal Medicine Physician
- Cape Girardeau, MO
- NPI 1578513016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311897600000",
"number": "1285912477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5115 NEW PEACHTREE ROAD",
"address_2": "SUITE 202",
"city": "CHAMBLEE",
"state": "GA",
"postal_code": "303412326",
"telephone_number": "678-336-5951",
"fax_number": "678-336-5955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 COLLIER ROAD",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30309",
"telephone_number": "404-350-7955",
"fax_number": "404-350-9115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRY",
"first_name": "KAREN",
"middle_name": "J.",
"credential": "DIETITIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-22",
"last_updated": "2011-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD000918",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1285912477",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KAREN",
"last_name": "ANDRY",
"middle_name": "JERRIS",
"credential": "RD, LD, CDE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; 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.