Active NPI
Daisy Seremba, R.D., C.D.E.
- Registered Dietitian
- Marietta, GA
National Provider Identifier
1528444593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD003017
- Practice address
- 3082 Bunker Hill Rd
Marietta, GA 30062-5418 - Phone
- (678) 472-7293
- NPI assigned
- Jul 31, 2015
- 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 | LD003017 | GA | Primary |
Addresses
Primary practice location
3082 Bunker Hill Rd
Marietta, GA 30062-5418
Mailing address
3082 Bunker Hill Rd
Marietta, GA 30062-5418
Phone (678) 472-7293
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 |
|---|---|---|---|
| LD003017 | GA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Strategic Nutrition | 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": "1438300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438300800000",
"number": "1528444593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3082 BUNKER HILL RD",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300625418",
"telephone_number": "678-472-7293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3082 BUNKER HILL RD",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300625418",
"telephone_number": "678-472-7293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEREMBA",
"first_name": "DAISY",
"name_prefix": "Mrs.",
"credential": "R.D., C.D.E.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-31",
"last_updated": "2015-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD003017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.