Green Apple Nutrition, Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

LD003621 Issued in GA

Legal business name

GREEN APPLE NUTRITION, INC

Practice address

5755 N Point Pkwy
Suite 64
Alpharetta, GA 30022-1142

Phone

(678) 965-0119

NPI assigned

Nov 14, 2013

Organization subpart

No

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

Authorized official

Name

Nilam Gangwal, MS, RD, LD

Title

Registered Dietitian

Phone

(678) 749-8634

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384387200000",
    "number": "1881024636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8685 VALDERAMA DR",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300976649",
            "telephone_number": "678-749-8634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 N POINT PKWY",
            "address_2": "SUITE 64",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300221142",
            "telephone_number": "678-965-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN APPLE NUTRITION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2013-11-14",
        "status": "A",
        "authorized_official_last_name": "GANGWAL",
        "authorized_official_first_name": "NILAM",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "678-749-8634",
        "authorized_official_credential": "MS, RD, LD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "GA",
            "license": "LD003621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norman Gray, PT
• Rayon Gray, PT
• Great Expressions Dental Centers
• Greater Atlanta Plastic Surgery Center LLC
• Kelsey Lynne Greeff, P.A.-C
• Green Haven Hospice and Palliative Care, LLC
• Anastasia Green, NP
• Brelynn Green
• Kimberly J Green, D.O
• Michelle Kho Green, PHARMD

• Health Service Clinic/Center in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Health Service Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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.