Kidney Foodie LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

KIDNEY FOODIE LLC

Practice address

810 Scott Cir
Decatur, GA 30033-4717

Phone

(404) 436-3363

NPI assigned

Dec 28, 2022

Last updated

Jan 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lauren Gleason, RDNNPI 1174244032

Title

Owner

Phone

(404) 436-3363

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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.

• Lauren Gleason, RD

  • Registered Dietitian
  • Decatur, GA
  • NPI 1174244032

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1982317509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 246",
            "city": "SCOTTDALE",
            "state": "GA",
            "postal_code": "300790246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 SCOTT CIR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300334717",
            "telephone_number": "404-436-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY FOODIE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-28",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "GLEASON",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-436-3363",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prem Lata Khanna, RN
• Parul Khator, M.D.
• Asma Khawaja, PMHNP-BC
• Kidability, Inc.
• Menna Kidane
• Kids & Teens Primary Healthcare
• Kids Speak
• Chelsea Kilgore, AUD
• Kim Austin Associates, LLC
• Emily Christine Kim, OTR/L

• Registered Dietitian in Decatur, GA
• Providers in Decatur, 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 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.