Jeny Thatil, MS, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD003343 Issued in GA

Practice address

10 Perimeter Summit Blvd NE
Unit 4101
Atlanta, GA 30319-1429

Phone

(404) 590-5369

NPI assigned

Jan 14, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1326499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326499200000",
    "number": "1821369372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PERIMETER SUMMIT BLVD NE",
            "address_2": "UNIT 4101",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303191429",
            "telephone_number": "404-590-5369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PERIMETER SUMMIT BLVD NE",
            "address_2": "UNIT 4101",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303191429",
            "telephone_number": "404-590-5369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THATIL",
        "first_name": "JENY",
        "credential": "MS, RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-14",
        "last_updated": "2012-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD003343",
            "primary": true
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "GA",
            "license": "LD003343",
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "GA",
            "license": "LD003343",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "GA",
            "license": "LD003343",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linh Trang Thai Than, O.D.
• Siddhartha S Thanawala, MD
• Chengbay Thao
• Ashley Teresa Tharakan, CRNA
• Cierra Thatcher
• Matthew R Thau, MD
• Antoinette Thaxton-Brooks, M.D.
• Nekel Thaxton, RN
• The 90 Group, LLC
• The Alabaster House LLC

• All providers in Atlanta, GA
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2012; 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.