Active NPI
Lashawnda Beasley, RDN, LD, CLC
- Registered Dietitian
- Fairburn, GA
National Provider Identifier
1730730375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 01060753
- Practice address
- 8240 Milam Loop
Fairburn, GA 30213-4727 - Phone
- (804) 731-7701
- NPI assigned
- Sep 25, 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 | 01060753 | Primary |
Addresses
Primary practice location
8240 Milam Loop
Fairburn, GA 30213-4727
Mailing address
PO Box 801
Tyrone, GA 30290-0801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201203002988 | GA | Practitioner - Registered Dietitian Or Nutrition Professional | 3870904386 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8240 Milam Loop
Fairburn, GA 30213-4727
Phone (404) 974-9928
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health for You by You LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
145 Governors Sq
Peachtree City, GA 30269
Phone (804) 731-7701
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 and National Provider Directory roles.
-
- Registered Dietitian
- Peachtree City, GA
- NPI 1679102339
Dietitian, Registered, GA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586044800000",
"number": "1730730375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 801",
"city": "TYRONE",
"state": "GA",
"postal_code": "302900801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8240 MILAM LOOP",
"city": "FAIRBURN",
"state": "GA",
"postal_code": "302134727",
"telephone_number": "804-731-7701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEASLEY",
"first_name": "LASHAWNDA",
"credential": "RDN, LD, CLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-25",
"last_updated": "2020-04-05",
"certification_date": "2020-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "01060753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairburn, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.