Individual provider Active NPI

Julie Paszkiewicz, ATC, RD

  • Registered Dietitian
  • Smyrna, GA
National Provider Identifier
1861847857
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD004959 Issued in GA
Practice address
2147 Lake Park Dr SE Apt E
Smyrna, GA 30080-7675
Phone
(586) 747-2316
NPI assigned
Apr 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT002019 GA
Registered Dietitian 133V00000X LD004959 GA Primary

Addresses

Primary practice location

2147 Lake Park Dr SE Apt E
Smyrna, GA 30080-7675

Mailing address

2147 Lake Park Dr SE Apt E
Smyrna, GA 30080-7675

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
LD004959GAMDRegistered Dietitian
AT002019GAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1861847857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2147 LAKE PARK DR SE APT E",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300807675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2147 LAKE PARK DR SE APT E",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300807675",
            "telephone_number": "586-747-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASZKIEWICZ",
        "first_name": "JULIE",
        "credential": "ATC, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-27",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT002019",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD004959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; 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.