Saren Paige Sportsman, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD002259 Issued in GA

Practice address

1105 Chipwood Path
Tucker, GA 30084-1434

Phone

(770) 723-1397

NPI assigned

Jul 2, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Nutrition Consultants of Atlanta, LLC

  • Registered Dietitian
  • Tucker, GA
  • NPI 1598794604

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760411771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 CHIPWOOD PATH",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300841434",
            "telephone_number": "770-723-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 CHIPWOOD PATH",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300841434",
            "telephone_number": "770-723-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPORTSMAN",
        "first_name": "SAREN",
        "middle_name": "PAIGE",
        "name_prefix": "Mrs.",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD002259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Edward Spencer, MA, LAPC
• Caroline Ekwurtzel Spillers
• Spine and Orthopedics of Atlanta, LLC
• Spine Specialists of Atlanta, LLC
• Louise M Spiro, LCSW
• Trudy Post Sprunk
• Jessica Spruyt, M.S., CCC-SLP
• St. Ruth Behavioral Health LLC
• Kaitlyn Stansell
• Elissa Ann Stanton, PA-C

• Registered Dietitian in Tucker, GA
• Providers in Tucker, 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 8, 2007; 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.