Active NPI
Karen Baldree Sumner, RD, LD
- Pediatric Nutrition Registered Dietitian
- Senoia, GA
National Provider Identifier
1992004519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nutrition Registered Dietitian
- License
- LD003030
- Practice address
- 129 Chapman Farm Rd
Senoia, GA 30276-3574 - Phone
- (229) 646-6059
- NPI assigned
- Mar 22, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 008303-01 | NY | |
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 806 | SC | |
| Pediatric Nutrition Registered Dietitian | 133VN1004X | LD003030 | GA | Primary |
Addresses
Primary practice location
129 Chapman Farm Rd
Senoia, GA 30276-3574
Mailing address
129 Chapman Farm Rd
Senoia, GA 30276-3574
Phone (229) 646-6059
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008303-01 | NY | MD | Registered Dietitian |
| LD003030 | GA | MD | Pediatric Nutrition Registered Dietitian |
| 806 | SC | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720483200000",
"number": "1992004519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 CHAPMAN FARM RD",
"city": "SENOIA",
"state": "GA",
"postal_code": "302763574",
"telephone_number": "229-646-6059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 CHAPMAN FARM RD",
"city": "SENOIA",
"state": "GA",
"postal_code": "302763574",
"telephone_number": "229-646-6059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMNER",
"first_name": "KAREN",
"middle_name": "BALDREE",
"name_prefix": "Mrs.",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-22",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "008303-01",
"primary": false
},
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "SC",
"license": "806",
"primary": false
},
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "GA",
"license": "LD003030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Senoia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.