Nutritionecw LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD003876 Issued in GA

Legal business name

NUTRITIONECW LLC

Doing business as

Eugenia Couchoud-Wilkinson

Practice address

1755 North Brown Rd
Ste.200
Lawrenceville, GA 30043

Phone

(678) 407-2159

Fax

(678) 288-8234

NPI assigned

Jul 11, 2018

Organization subpart

No

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

Authorized official

Name

Eugenia Couchoud-Wilkinson, MS, RDN, LD

Title

Ceo

Phone

(678) 407-2159

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eugenia Couchoud-Wilkinson Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• M. Eugenia Couchoud-Wilkinson, M.S., R.D.N, L.D.

  • Registered Dietitian
  • Johns Creek, GA
  • NPI 1316201015

  Dietitian, Registered

  Medicare reassignment NPD
• Claudia Ines Winter, RDN

  • Registered Dietitian
  • Johns Creek, GA
  • NPI 1386408201

  Dietitian, Registered

  NPD
• Juliana Tamayo

  • Registered Dietitian
  • Johns Creek, GA
  • NPI 1265355739

  Dietitian, Registered

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1649766874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 HERON LAKE CT",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300436850",
            "telephone_number": "678-407-2159",
            "fax_number": "678-288-8234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 NORTH BROWN RD",
            "address_2": "STE.200",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "30043",
            "telephone_number": "678-407-2159",
            "fax_number": "678-288-8234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11340 Lakefield Dr.",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Johns Creek",
            "state": "GA",
            "postal_code": "30097",
            "country_code": "US",
            "telephone_number": "678-407-2159",
            "fax_number": "678-288-8234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3455 Peachtree Rd NE",
            "address_2": "Ste. 500",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "30326",
            "country_code": "US",
            "telephone_number": "678-407-2159",
            "fax_number": "678-288-8234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NUTRITIONECW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "COUCHOUD-WILKINSON",
        "authorized_official_first_name": "EUGENIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-407-2159",
        "authorized_official_credential": "MS, RDN, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD003876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1316201015",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eugenia Couchoud-Wilkinson",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eugenia Couchoud-Wilkinson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nstar Healthcare Services LLC (Nstar Healthcare services)
• Thandeka Thelma Ntuli, MSN, APRN, AGNP-C
• Monica Nurse, RN
• Yvette L. Nurse, LPC
• Nursing and Rehab Consultants, LLC (NRC)
• Stanley Nwachukwu
• Gerald Obiorah Nwafor
• Justina Agwaoma Nwakamma
• Nnamdi Kelechi Nwaohiri, M.D.
• Patience Ndidi Nwimo, MD

• Registered Dietitian in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.