Individual provider Active NPI

Jean Cherie Lester, RD LD

  • Registered Dietitian
  • Austell, GA
National Provider Identifier
1831120617
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD001132 Issued in GA
Practice address
1660 Mulkey Rd
Suite B
Austell, GA 30106
Phone
(678) 460-2700
Fax
(770) 739-0212
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LD001132 GA Primary

Addresses

Primary practice location

1660 Mulkey Rd
Suite B
Austell, GA 30106

Mailing address

1660 Mulkey Rd
Suite B
Austell, GA 30106
Phone (678) 460-2700

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

State licenses

LicenseStateTypeSpecialty
LD001132GAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Cobb Nephrology Hypertension Associates, PC Current Accepting new patients

Locations

3875 Austell Rd
Ste 101
Austell, GA 30106
Phone (770) 941-8100

4444 Austell Rd
Austell, GA 30106
Phone (678) 460-2700

1660 Mulkey Rd
Ste B
Austell, GA 30106
Phone (678) 460-2700

4019 Johns Rd
#100
Dallas, GA 30132
Phone (678) 460-2700

7117 S Sweetwater Rd
Lithia Springs, GA 30122
Phone (678) 945-3600

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCHBDA

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831120617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 MULKEY RD",
            "address_2": "SUITE B",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "30106",
            "telephone_number": "678-460-2700",
            "fax_number": "770-739-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 MULKEY RD",
            "address_2": "SUITE B",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "30106",
            "telephone_number": "678-460-2700",
            "fax_number": "770-739-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESTER",
        "first_name": "JEAN",
        "middle_name": "CHERIE",
        "credential": "RD LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD001132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

  • 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.