Love Nutrition 4 Life, Inc

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD003459 Issued in GA

Legal business name

LOVE NUTRITION 4 LIFE, INC

Practice address

313 Brookview Drive
Riverdale, GA 30274-7205

Phone

(404) 441-8853

NPI assigned

Feb 18, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Denise Victoria Lundy, MS, RD, LD

Title

Dietitian/Ceo

Phone

(404) 441-8853

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1891017893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 961831",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302967205",
            "telephone_number": "404-441-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 BROOKVIEW DRIVE",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302747205",
            "telephone_number": "404-441-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVE NUTRITION 4 LIFE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "LUNDY",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "VICTORIA",
        "authorized_official_title_or_position": "DIETITIAN/CEO",
        "authorized_official_telephone_number": "404-441-8853",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, RD, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD003459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; 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.