Organization Active NPI

Drdee Nutrition

  • Obesity and Weight Management Nutrition Registered Dietitian
  • Roswell, GA
National Provider Identifier
1366060261
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity and Weight Management Nutrition Registered DietitianTaxonomy code 133VN1201X
Legal business name
DRDEE NUTRITION
Practice address
760 Old Roswell Rd Ste 112
Roswell, GA 30076-2279
Phone
(954) 309-5366
NPI assigned
Jul 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Authorized official

Name
Denise Pickett-BernardNPI 1134745524
Title
Owner/President
Phone
(954) 309-5366

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity and Weight Management Nutrition Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133VN1201X Primary

Addresses

Primary practice location

760 Old Roswell Rd Ste 112
Roswell, GA 30076-2279

Mailing address

760 Old Roswell Rd Ste 112
Roswell, GA 30076-2279

National Provider Directory

National Provider Directory

Locations

760 Old Roswell Rd
Ste 112
Roswell, GA 30076
Phone (954) 309-5366

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1366060261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 OLD ROSWELL RD STE 112",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 OLD ROSWELL RD STE 112",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762279",
            "telephone_number": "954-309-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRDEE NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "PICKETT-BERNARD",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "954-309-5366"
    },
    "taxonomies": [
        {
            "code": "133VN1201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.