Brenda Veronique Lemoine, RD,LD/N

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD004920 Issued in GA

Practice address

3640 S Fulton Avenue
Suite 1150
Atlanta, GA 30354-5759

Phone

(903) 748-9742

NPI assigned

Jul 27, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1356865844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 S FULTON AVE",
            "address_2": "SUITE 1150",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303541703",
            "telephone_number": "470-812-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 S FULTON AVENUE",
            "address_2": "SUITE 1150",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303545759",
            "telephone_number": "903-748-9742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMOINE",
        "first_name": "BRENDA",
        "middle_name": "VERONIQUE",
        "credential": "RD,LD/N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-27",
        "last_updated": "2022-07-21",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "GA",
            "license": "LD004920",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "GA",
            "license": "LD004920",
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "GA",
            "license": "LD004920",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD004920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@nutriphaserx.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3640 S Fulton Avenue",
            "address_2": "Suite 1150",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303545759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Allison Jo Anne Lemish Sherman, CAA
• Lulu Rosemary Lemma
• Alexander A Lemmer, M.D.
• Carrie Lemming, CCC-SLP
• Andrew Bryson Lemmon, MD
• Brianna Lemoine, DO
• Khaalida Zayn Van de Cruize Lemon, LCSW
• Terescah Lemon, LPC
• Tracey R Lemon, MD
• Nichele Lemons

• 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 Jul 21, 2022; 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.