Ann Whitaker, RD/N, LD, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD000786 Issued in GA

Practice address

3650 Steve Reynolds Blvd
Duluth, GA 30096-4506

Phone

(770) 931-6228

Fax

(770) 931-6036

NPI assigned

Jul 9, 2015

Last updated

Jul 9, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ann.whitaker.1@9864.direct.athenahealth.com
• Direct secure messaging: ann.whitaker@mgi.eclinicaldirectplus.com

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.

• Medlink Georgia Inc

  • Federally Qualified Health Center (FQHC)
  • Colbert, GA
  • NPI 1396794541
  Medicare reassignment NPD
• Medlink Georgia, Inc

  • Federally Qualified Health Center (FQHC)
  • Winder, GA
  • NPI 1396689964
  NPD
• Medlink Georgia, Inc

  dba MedLink Commerce Family Foot Clinic

  • Podiatric Clinic/Center
  • Commerce, GA
  • NPI 1619627460
  NPD
• Medlink Georgia Inc

  • Federally Qualified Health Center (FQHC)
  • Gainesville, GA
  • NPI 1245340264
  NPD (past)
• Medlink Georgia Inc

  dba Medlink Colbert Building 2

  • Federally Qualified Health Center (FQHC)
  • Colbert, GA
  • NPI 1669951414
  NPD (past)

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1699158584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 STEVE REYNOLDS BLVD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964506",
            "telephone_number": "770-931-6228",
            "fax_number": "770-931-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 STEVE REYNOLDS BLVD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964506",
            "telephone_number": "770-931-6228",
            "fax_number": "770-931-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "ANN",
        "credential": "RD/N, LD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-09",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD000786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LD",
            "identifier": "LD000786",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wellnessone of Duluth
• Kimberly Wells
• Wellstreet of Georgia PC
• Ellie Hammer Werner
• Shelley A West, D.C.
• White Smile Dentistry
• Avery Katherine White, OT
• Kamya Lee White
• Terry S White
• David Mark Whiteman, MD

• Registered Dietitian in Duluth, GA
• Providers in Duluth, 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 9, 2015; 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.