Individual provider Active NPI

Parul Shah, RD/LD

  • Registered Dietitian
  • Duluth, GA
National Provider Identifier
1427300375
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD003719 Issued in GA
Practice address
3294 Islesworth Trce
Duluth, GA 30097-6289
Phone
(678) 250-3438
NPI assigned
Oct 2, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD003719 GA Primary

Addresses

Primary practice location

3294 Islesworth Trce
Duluth, GA 30097-6289

Mailing address

3294 Islesworth Trce
Duluth, GA 30097-6289
Phone (678) 250-3438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130327000356 GA Practitioner - Registered Dietitian Or Nutrition Professional 6507001393 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3135 Mathis Airport Pkwy
Suite 200
Suwanee, GA 30024-9134
Phone (678) 250-3438

3294 Islesworth Trce
Duluth, GA 30097-6289

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LD003719GAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Pandya Medical Center, Inc CurrentSince Oct 7, 2014 Accepting new patients
Nutrition Solutions for Me LLC Dietitian, Registered CurrentSince Jan 14, 2013 Accepting new patients

Locations

3970 Dep Bill Cantrell Memorial Rd
Ste 220
Cumming, GA 30040
Phone (678) 984-3151

3925 Johns Creek Ct
Ste A
Suwanee, GA 30024
Phone (678) 474-4742

3135 Mathis Airport Pkwy
#200
Suwanee, GA 30024
Phone (678) 250-3438

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8348/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1427300375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3294 ISLESWORTH TRCE",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300976289",
            "telephone_number": "678-250-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3294 ISLESWORTH TRCE",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300976289",
            "telephone_number": "678-250-3438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "PARUL",
        "credential": "RD/LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-02",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD003719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.