Individual provider Active NPI

Sunitha Zechariah, MS RD LD CNSC FAND

  • Registered Dietitian
  • Evans, GA
National Provider Identifier
1750852398
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD002911 Issued in GA
Practice address
1143 Hunters CV
Evans, GA 30809-6905
Phone
(706) 372-4917
NPI assigned
Dec 7, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD002911 GA Primary

Addresses

Primary practice location

1143 Hunters CV
Evans, GA 30809-6905

Mailing address

1143 Hunters CV
Evans, GA 30809-6905
Phone (706) 372-4917

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LD002911GAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1544140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1750852398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1143 HUNTERS CV",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308096905",
            "telephone_number": "706-372-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1143 HUNTERS CV",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308096905",
            "telephone_number": "706-372-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZECHARIAH",
        "first_name": "SUNITHA",
        "name_prefix": "Mrs.",
        "credential": "MS RD LD CNSC FAND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-07",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD002911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.