Active NPI
Ezimamaka Onyema, R.D, L.D
- Renal Nutrition Registered Dietitian
- Atlanta, GA
National Provider Identifier
1861794539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Renal Nutrition Registered Dietitian
- License
- LD003467
- Practice address
- 567 North Ave NE
Atlanta, GA 30308-2721 - Phone
- (404) 853-1662
- NPI assigned
- Dec 1, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | |||
| Registered Dietitian | 133V00000X | 1790 | TN | |
| Renal Nutrition Registered Dietitian | 133VN1005X | LD003467 | GA | Primary |
| Metabolic Nutrition Registered Dietitian | 133VN1006X | |||
| Nutritionist | 133N00000X | |||
| Nutrition Education Nutritionist | 133NN1002X |
Addresses
Primary practice location
567 North Ave NE
Atlanta, GA 30308-2721
Mailing address
9103 Woodmore Center Dr Ste 227
Lanham, MD 20706-1653
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
| License | State | Type | Specialty |
|---|---|---|---|
| LD003467 | GA | MD | Renal Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | 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": "1291161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757808000000",
"number": "1861794539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9103 WOODMORE CENTER DR STE 227",
"city": "LANHAM",
"state": "MD",
"postal_code": "207061653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "567 NORTH AVE NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082721",
"telephone_number": "404-853-1662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONYEMA",
"first_name": "EZIMAMAKA",
"credential": "R.D, L.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-01",
"last_updated": "2025-09-14",
"certification_date": "2025-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TN",
"license": "1790",
"primary": false
},
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "GA",
"license": "LD003467",
"primary": true
},
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": null,
"license": null,
"primary": false
},
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.