Active NPI
Outreach for Nutrition Education Inc.
- Registered Dietitian
- Duluth, GA
National Provider Identifier
1740988997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- OUTREACH FOR NUTRITION EDUCATION INC.
- Practice address
- 3883 Rogers Bridged Road
Suite #304 B
Duluth, GA 30097-2809 - Phone
- (678) 687-9292
- Fax
- (678) 954-2554
- NPI assigned
- Feb 17, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Beena Deshpande, REGISTERED DIETITIAN
- Title
- Ceo
- Phone
- (678) 687-9292
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary | ||
| Renal Nutrition Registered Dietitian | 133VN1005X | |||
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | |||
| Diabetes Educator Registered Nurse | 163WD0400X |
Addresses
Primary practice location
3883 Rogers Bridged Road
Suite #304 B
Duluth, GA 30097-2809
Mailing address
5210 Harbury LN
Suwanee, GA 30024-7541
Phone (678) 687-9292
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676592000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724112000000",
"number": "1740988997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5210 HARBURY LN",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300247541",
"telephone_number": "678-687-9292",
"fax_number": "678-954-2554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3883 ROGERS BRIDGED ROAD",
"address_2": "SUITE #304 B",
"city": "DULUTH",
"state": "GA",
"postal_code": "300972809",
"telephone_number": "678-687-9292",
"fax_number": "678-954-2554"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OUTREACH FOR NUTRITION EDUCATION INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-17",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A",
"authorized_official_last_name": "DESHPANDE",
"authorized_official_first_name": "BEENA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "678-687-9292",
"authorized_official_credential": "REGISTERED DIETITIAN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
},
{
"code": "133VN1005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WD0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Diabetes Educator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.