Alpha Nutrition & Wellness Center, LLC

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

Legal business name

ALPHA NUTRITION & WELLNESS CENTER, LLC

Doing business as

Alpharetta Diagnostics Lab

Practice address

11130 State Bridge Rd Ste E101
Johns Creek, GA 30022-2641

Phone

(678) 538-8696

Fax

(478) 419-3990

NPI assigned

Mar 16, 2020

Last updated

Mar 16, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

ALPHA NUTRITION & WELLNESS CENTER, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Veronica O Okwoche, PHDNPI 1548896731

Title

Director

Phone

(678) 538-8696

Specialties & licenses 3

Addresses

Other names 1

• Alpharetta Diagnostics Lab Doing business as

Part of

Alpha Nutrition Wellness Center LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Alpha Nutrition & Wellness Center, LLC

  • Physiological Laboratory
  • Alpharetta, GA
  • NPI 1336447754
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Veronica Oriako Okwoche, PHD

  • Nutrition Education Nutritionist
  • Johns Creek, GA
  • NPI 1548896731

  Nutrition, Education

  NPD Authorized official

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584316800000",
    "number": "1952937468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 LOCUST GROVE CT",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300041157",
            "telephone_number": "678-537-1068",
            "fax_number": "478-419-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11130 STATE BRIDGE RD STE E101",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300222641",
            "telephone_number": "678-538-8696",
            "fax_number": "478-419-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA NUTRITION & WELLNESS CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALPHA NUTRITION & WELLNESS CENTER, LLC",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A",
        "authorized_official_last_name": "OKWOCHE",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "678-538-8696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpharetta Diagnostics Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nutrition Education Nutritionist in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Nutrition Education Nutritionist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; 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.