Active NPI
Family Nutrition Solutions, LLC
- Registered Dietitian
- Snellville, GA
National Provider Identifier
1356907018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | |||
| Nutrition Education Nutritionist | 133NN1002X | |||
| Registered Dietitian | 133V00000X | Primary | ||
| Pediatric Nutrition Registered Dietitian | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811478472 | Medicaid | GA |
National Provider Directory
National Provider DirectoryNPI 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.