Individual provider Active NPI

Juliette Maryam Khoshrozeh, LDN, RDN

  • Registered Dietitian
  • Asheville, NC
National Provider Identifier
1427684653
Registry record updated Nov 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L006067 Issued in NC
Practice address
30 Garfield St Ste a
Asheville, NC 28803-7301
Phone
(828) 707-6084
NPI assigned
Mar 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2020

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 L006067 NC Primary

Addresses

Primary practice location

30 Garfield St Ste a
Asheville, NC 28803-7301

Mailing address

76 Lanvale Ave Apt 1
Asheville, NC 28806-2675
Phone (626) 826-3062

Other practice location 1

76 Lanvale Ave Apt 1
Asheville, NC 28806-2675
Phone (626) 826-3062

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Growing Inward Nutrition LLC Dietitian, Registered CurrentSince Nov 22, 2020 Accepting new patients

Organizations & group practices 1

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": "1584576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605312000000",
    "number": "1427684653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 LANVALE AVE APT 1",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288062675",
            "telephone_number": "626-826-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 GARFIELD ST STE A",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288037301",
            "telephone_number": "828-707-6084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "76 Lanvale Ave Apt 1",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288062675",
            "country_code": "US",
            "telephone_number": "626-826-3062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHOSHROZEH",
        "first_name": "JULIETTE",
        "middle_name": "MARYAM",
        "credential": "LDN, RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-19",
        "last_updated": "2020-11-14",
        "certification_date": "2020-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L006067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.