Beverly Bray Ford, RD, LD

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

License

LD000488 Issued in GA

Practice address

1511 Anthony Rd
Augusta, GA 30904-4821

Phone

(706) 731-0117

NPI assigned

Jun 6, 2007

Sex

Female

Sole proprietor

Yes

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 411 Beverly Ford Rd LD LLC

  • Renal Nutrition Registered Dietitian
  • Augusta, GA
  • NPI 1225220866

  Nutrition, Renal

  NPD (past) Authorized official

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861695082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 WILLIAMS ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309046127",
            "telephone_number": "706-589-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 ANTHONY RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044821",
            "telephone_number": "706-731-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "BEVERLY",
        "middle_name": "BRAY",
        "name_prefix": "Ms.",
        "credential": "RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "GA",
            "license": "LD000488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Foot & Flow - Wound, Vascular and Podiatric Solutions
• Foot and Ankle Center of Augusta
• Foot and Flow - Wound Vascular and Podiatric Solutions
• Laura Forbes
• Ashley Ford
• Bryce Ford
• Tiffany Gibson Ford, RN
• Iris Denise Fordham, LPN
• Veronica W Foreman, PMHNP
• Foremost Home Care

• Renal Nutrition Registered Dietitian in Augusta, GA
• Providers in Augusta, GA by specialty
• Renal Nutrition 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.