Active NPI
Living Healthy. LLC
- Registered Dietitian
- Douglasville, GA
National Provider Identifier
1467864553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 00169
- Legal business name
- LIVING HEALTHY. LLC
- Practice address
- 3400 Chapel Hill Rd
Suite 100-17
Douglasville, GA 30135-1739 - Phone
- (404) 468-3334
- NPI assigned
- May 23, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Denine Rogers
- Title
- Owner
- Phone
- (678) 741-5338
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 00169 | GA | Primary |
Addresses
Primary practice location
3400 Chapel Hill Rd
Suite 100-17
Douglasville, GA 30135-1739
Mailing address
3400 Chapel Hill Rd
Suite 100-17
Douglasville, GA 30135-1739
Phone (404) 468-3334
National Provider Directory
National Provider DirectoryLocations
3400 Chapel Hill Rd
Ste 10017
Douglasville, GA 30135
Phone (678) 741-5338
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714953600000",
"number": "1467864553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 CHAPEL HILL RD",
"address_2": "SUITE 100-17",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301351739",
"telephone_number": "404-468-3334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 CHAPEL HILL RD",
"address_2": "SUITE 100-17",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301351739",
"telephone_number": "404-468-3334"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVING HEALTHY. LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-23",
"last_updated": "2024-05-06",
"certification_date": "2024-05-06",
"status": "A",
"authorized_official_last_name": "ROGERS",
"authorized_official_first_name": "DENINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-741-5338"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "00169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Douglasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.