Fatema Shirin, MS RD LD

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

License

LD002990 Issued in GA

Practice address

80 Jesse Hill Jr Drive
Atlanta, GA 30303

Phone

(404) 616-4625

Fax

(404) 616-2422

NPI assigned

May 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497964670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 CITADEL DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243813",
            "telephone_number": "404-634-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 JESSE HILL JR DRIVE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30303",
            "telephone_number": "404-616-4625",
            "fax_number": "404-616-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRIN",
        "first_name": "FATEMA",
        "name_prefix": "Ms.",
        "credential": "MS RD LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "GA",
            "license": "LD002990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelly Irene Shiran, M.D.
• Hamad Haider Shirazi, DC
• Tyler Mark Shirel, MD
• Mary Suzanne Shirey, MD
• Theresa Elise Shirey
• Charles Hoke Shirley
• Cody Reid Shirley, BS, COTA/L
• J Shirley Jr., DMD
• Jorea Shirley, DNP, ARNP
• Kelly Kathleen Shirley, BCBA

• Renal Nutrition Registered Dietitian in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Renal Nutrition Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.