Life of Food LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

LIFE OF FOOD LLC

Practice address

704 Woodward CT
Canton, GA 30114-1501

Phone

(678) 371-1910

Fax

(678) 371-1910

NPI assigned

Mar 28, 2025

Organization subpart

No

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

Authorized official

Name

Emilie Elisabeth Koetter, RDN, LDNPI 1821671256

Title

Owner

Phone

(678) 371-1910

Specialties & licenses 1

Addresses

Other names 1

• Emilie Koetter RDN, LD LLC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emilie Elisabeth Koetter, RDN, LD

  • Registered Dietitian
  • Canton, GA
  • NPI 1821671256

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1743120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1831992775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 WOODWARD CT",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301141501",
            "telephone_number": "678-371-1910",
            "fax_number": "678-371-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 WOODWARD CT",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301141501",
            "telephone_number": "678-371-1910",
            "fax_number": "678-371-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE OF FOOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-28",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "KOETTER",
        "authorized_official_first_name": "EMILIE",
        "authorized_official_middle_name": "ELISABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-371-1910",
        "authorized_official_credential": "RDN, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emilie Koetter RDN, LD LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Dianne Lewis, BSN, RN-BC
• Elizabeth Townley Lewis, DDS
• Evan Michael Lewis, D.P.M.
• Megan Rose Liebmann, BT
• Yee Ling Lieu
• Life Stat EMS
• Alyssa Liguori, D.O.
• Bethany Wiley Lill
• Christina L Liming, MS, CCC-SLP
• Aisha Linge, PHARMD

• Registered Dietitian in Canton, GA
• Providers in Canton, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.