Individual provider Active NPI

Francine Ichim, MS, RD, LD

  • Registered Dietitian
  • Hoschton, GA
National Provider Identifier
1558067173
Registry record updated Mar 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD006292 Issued in GA
Practice address
1027 Arbor Lake Walk
Hoschton, GA 30548-3497
Phone
(949) 370-0173
NPI assigned
Feb 6, 2023
Last updated
Mar 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

LicenseStateTypeSpecialty
LD006292GAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew 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.

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

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.

Verify at the official NPI Registry.