Active NPI
Loren Psalidas, RDN
- Registered Dietitian
- Cottonwood Heights, UT
National Provider Identifier
1437688355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD004878
- Practice address
- 2837 E Bridgewater Dr
Cottonwood Heights, UT 84121-5205 - Phone
- (385) 324-9712
- NPI assigned
- Jun 5, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | LD004878 | GA | Primary |
Addresses
Primary practice location
2837 E Bridgewater Dr
Cottonwood Heights, UT 84121-5205
Mailing address
8735 Dunwoody PL Ste N
Sandy Springs, GA 30350-2995
Phone (770) 310-5420
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 |
|---|---|---|---|
| LD004878 | GA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LCD Nutrition LLC | Dietitian, Registered | Past | 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": "1496620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1437688355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8735 DUNWOODY PL STE N",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303502995",
"telephone_number": "770-310-5420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2837 E BRIDGEWATER DR",
"city": "COTTONWOOD HEIGHTS",
"state": "UT",
"postal_code": "841215205",
"telephone_number": "385-324-9712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PSALIDAS",
"first_name": "LOREN",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-05",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD004878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cottonwood Heights, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.