Organization Active NPI

Family Nutrition Solutions, LLC

  • Registered Dietitian
  • Snellville, GA
National Provider Identifier
1356907018
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
FAMILY NUTRITION SOLUTIONS, LLC
Practice address
1755 Skyland Glen Dr
Snellville, GA 30078-3869
Phone
(470) 394-2868
NPI assigned
May 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Holley Nash, RDN, LD
Title
Ceo
Phone
(470) 394-2868

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133N00000X
Nutrition Education NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133NN1002X
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X Primary
Pediatric Nutrition Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133VN1004X

Addresses

Primary practice location

1755 Skyland Glen Dr
Snellville, GA 30078-3869

Mailing address

2483 Heritage VLG Ste 16149
Snellville, GA 30078-6140
Phone (470) 394-2868

Other identifiers 1

IdentifierTypeStateIssuer
1811478472MedicaidGA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1356907018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2483 HERITAGE VLG STE 16149",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786140",
            "telephone_number": "470-394-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 SKYLAND GLEN DR",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783869",
            "telephone_number": "470-394-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY NUTRITION SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-17",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "NASH",
        "authorized_official_first_name": "HOLLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "470-394-2868",
        "authorized_official_credential": "RDN, LD"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811478472",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.