Shiela Cochran Ryan, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD005188 Issued in GA

Practice address

1136 Cleveland Ave
East Point, GA 30344-3618

Phone

(404) 466-6303

NPI assigned

May 11, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1447834965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 HANNAH WAY",
            "city": "PALMETTO",
            "state": "GA",
            "postal_code": "302688549",
            "telephone_number": "678-326-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 CLEVELAND AVE",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443618",
            "telephone_number": "404-466-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "SHIELA",
        "middle_name": "COCHRAN",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD005188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIETITIANS LICENSE",
            "identifier": "LD005188",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Rolle
• Carlos R. Roman, MD
• Jamilah Royalston
• Angelina Kierin Ruffin, CNM
• Rutledge Medical Associates LLC
• Jordan Ryba, PHYSICIAN ASSISTANT
• Yssa Saaddine, MD
• Saeideh L Sadri, D.C.
• Carlyn Sainvil
• Martha Sam, PTA

• Registered Dietitian in East Point, GA
• Providers in East Point, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.