Klean Plate Community Outreach

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Legal business name

KLEAN PLATE COMMUNITY OUTREACH

Practice address

4983 Jonesboro Rd
Forest Park, GA 30297-3551

Phone

(678) 281-5443

NPI assigned

Jul 28, 2026

Organization subpart

No

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

Authorized official

Name

Katrice Simmons

Title

Founder

Phone

(678) 281-5443

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1962324459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4983 JONESBORO RD",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302973551",
            "telephone_number": "678-281-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4983 JONESBORO RD",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302973551",
            "telephone_number": "678-281-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLEAN PLATE COMMUNITY OUTREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "KATRICE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "678-281-5443"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health & Wellness Coach in Forest Park, GA
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• Health & Wellness Coach in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.