Individual provider Active NPI

Gloria Amparo Ochoa-Andia, RD, CDE, IBCLC

  • Registered Dietitian
  • Lawrenceville, GA
National Provider Identifier
1770924730
Registry record updated Aug 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD003098 Issued in GA
Practice address
761 Rosa Dr
Lawrenceville, GA 30044-6613
Phone
(678) 680-3261
Fax
(833) 441-1804
NPI assigned
Jul 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2021

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 LD003098 GA Primary

Addresses

Primary practice location

761 Rosa Dr
Lawrenceville, GA 30044-6613

Mailing address

761 Rosa Dr
Lawrenceville, GA 30044-6613
Phone (678) 680-3261

Other names 1

  • Gloria Ochoa-Andia Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190830002733 GA Practitioner - Registered Dietitian Or Nutrition Professional 2466781372 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Goodness Nutrition Center, LLC Dietitian, Registered CurrentSince Mar 12, 2019 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1373155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628294400000",
    "number": "1770924730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 ROSA DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300446613",
            "telephone_number": "678-680-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 ROSA DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300446613",
            "telephone_number": "678-680-3261",
            "fax_number": "833-441-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCHOA-ANDIA",
        "first_name": "GLORIA",
        "middle_name": "AMPARO",
        "name_prefix": "Mrs.",
        "credential": "RD, CDE, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-07",
        "last_updated": "2021-08-07",
        "certification_date": "2021-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD003098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLORIA",
            "last_name": "OCHOA-ANDIA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2021; 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.