Active NPI
Donna L Ruiz, RD, LD
- Registered Dietitian
- Atlanta, GA
National Provider Identifier
1386880979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD002115
- Practice address
- 1670 Clairmont Road RM 6C117
Atlanta VA Medical Center
Atlanta, GA 30033 - Phone
- (404) 321-6111
- NPI assigned
- Jan 2, 2009
- 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 | LD002115 | GA | Primary |
Addresses
Primary practice location
1670 Clairmont Road RM 6C117
Atlanta VA Medical Center
Atlanta, GA 30033
Mailing address
111 1/2 Deer Park Lane
Calhoun, GA 30701
Phone (678) 767-9401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LD002115 | Other | GA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD002115 | GA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230854400000",
"number": "1386880979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 1/2 DEER PARK LANE",
"city": "CALHOUN",
"state": "GA",
"postal_code": "30701",
"telephone_number": "678-767-9401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1670 CLAIRMONT ROAD RM 6C117",
"address_2": "ATLANTA VA MEDICAL CENTER",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30033",
"telephone_number": "404-321-6111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "DONNA",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-02",
"last_updated": "2009-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD002115",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "LD002115",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}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 Jan 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.