Active NPI
Lamura Alyn Poore, MS, RDN, LD
- Registered Dietitian
- Peachtree City, GA
National Provider Identifier
1528587177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD004083
- Practice address
- 145 Governors SQ Ste a
Peachtree City, GA 30269-4861 - Phone
- (304) 437-3031
- Fax
- (866) 732-4010
- NPI assigned
- Sep 14, 2017
- Last updated
- Sep 9, 2021
- 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 | LD004083 | GA | Primary |
Addresses
Primary practice location
145 Governors SQ Ste a
Peachtree City, GA 30269-4861
Mailing address
5863 El Segundo Way
College Park, GA 30349-7519
Phone (304) 437-3031
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)
- Enrolled
- Credentials
- Master of Science
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Registered Dietitian
- Peachtree City, GA
- NPI 1922560044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631145600000",
"number": "1528587177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5863 EL SEGUNDO WAY",
"city": "COLLEGE PARK",
"state": "GA",
"postal_code": "303497519",
"telephone_number": "304-437-3031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 GOVERNORS SQ STE A",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302694861",
"telephone_number": "304-437-3031",
"fax_number": "866-732-4010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POORE",
"first_name": "LAMURA",
"middle_name": "ALYN",
"name_prefix": "Ms.",
"credential": "MS, RDN, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-14",
"last_updated": "2021-09-09",
"certification_date": "2021-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD004083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peachtree City, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.