Active NPI
Francine Ichim, MS, RD, LD
- Registered Dietitian
- Hoschton, GA
National Provider Identifier
1558067173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD006292
- Practice address
- 1027 Arbor Lake Walk
Hoschton, GA 30548-3497 - Phone
- (949) 370-0173
- NPI assigned
- Feb 6, 2023
- Last updated
- Mar 9, 2024
- Sex
- Female
- Sole proprietor
- No
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 | LD006292 | GA | Primary |
Addresses
Primary practice location
1027 Arbor Lake Walk
Hoschton, GA 30548-3497
Mailing address
1027 Arbor Lake Walk
Hoschton, GA 30548-3497
Phone (949) 370-0173
Other names 1
- Francine Olaires
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD006292 | GA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish Family Nutrition Coaching, LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Registered Dietitian
- Santa Fe, NM
- NPI 1124495957
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709942400000",
"number": "1558067173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1027 ARBOR LAKE WALK",
"city": "HOSCHTON",
"state": "GA",
"postal_code": "305483497",
"telephone_number": "949-370-0173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1027 ARBOR LAKE WALK",
"city": "HOSCHTON",
"state": "GA",
"postal_code": "305483497",
"telephone_number": "949-370-0173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ICHIM",
"first_name": "FRANCINE",
"credential": "MS, RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-06",
"last_updated": "2024-03-09",
"certification_date": "2024-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD006292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "FRANCINE",
"last_name": "OLAIRES",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Hoschton, GA
- Lauren Hendrix
- Heritage Obstetrics & Gynecology
- Georgia Lynn Grant Horsley, N.P.
- Hoschton Chiropractic (Hoschton Chiropractic Center)
- Ricky Mel Hunter, PTA
- Julie Immonen, CSFA
- Independent Physical Therapy of Ga, LLC
- Independent Physical Therapy of Georgia, LLC (Benchmark Physical Therapy)
- Kuantara Shorell Ingram, CCC-SLP
- Integrated Institute of Health and Wellness (Gray Matter Wellness Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.