Active NPI
Tracie Via, RDN
- Registered Dietitian
- Monroe, GA
National Provider Identifier
1568026268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD001209
- Practice address
- 1421 Bluff Creek TRL
Monroe, GA 30656-8640 - Phone
- (404) 394-7038
- NPI assigned
- Apr 28, 2019
- 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 | LD001209 | GA | Primary |
Addresses
Primary practice location
1421 Bluff Creek TRL
Monroe, GA 30656-8640
Mailing address
1421 Bluff Creek TRL
Monroe, GA 30656-8640
Phone (404) 394-7038
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 |
|---|---|---|---|
| LD001209 | GA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556409600000",
"number": "1568026268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1421 BLUFF CREEK TRL",
"city": "MONROE",
"state": "GA",
"postal_code": "306568640",
"telephone_number": "404-394-7038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1421 BLUFF CREEK TRL",
"city": "MONROE",
"state": "GA",
"postal_code": "306568640",
"telephone_number": "404-394-7038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIA",
"first_name": "TRACIE",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-28",
"last_updated": "2019-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD001209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, GA
- Scottie Lauren Tuttle, NP-C
- Usrc Monroe, LLC
- Morgan Rosalia Vanbuul, MIDWIFE, LAY
- Maribelle Verdiales, MD
- Vest Monroe, LLC (Ridgeview Institute Monroe)
- Lisa Vickery
- Elizabeth Kelly Volfson, PHARMD, RPH
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-0780)
- Wal-Mart Stores East, LP (Vision Center 30-0780)
- Walgreen Co (Walgreens #11539)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.