Active NPI
Suitable Nutrition, LLC
- Registered Dietitian
- Roswell, GA
National Provider Identifier
1992427645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- SUITABLE NUTRITION, LLC
- Practice address
- 630 River Falls CT
Roswell, GA 30076-5120 - Phone
- (518) 961-1778
- NPI assigned
- Sep 19, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Emily Peterson
- Title
- Owner
- Phone
- (518) 961-1778
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
630 River Falls CT
Roswell, GA 30076-5120
Mailing address
630 River Falls CT
Roswell, GA 30076-5120
Phone (518) 961-1778
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LD004817 | Other | GA | GEORGIA PROFESSIONAL LICENSING BOARDS DIVISION |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Healthie |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663545600000",
"number": "1992427645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 RIVER FALLS CT",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300765120",
"telephone_number": "518-961-1778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 RIVER FALLS CT",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300765120",
"telephone_number": "518-961-1778"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUITABLE NUTRITION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-19",
"last_updated": "2022-09-19",
"certification_date": "2022-09-19",
"status": "A",
"authorized_official_last_name": "PETERSON",
"authorized_official_first_name": "EMILY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "518-961-1778"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA PROFESSIONAL LICENSING BOARDS DIVISION",
"identifier": "LD004817",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Healthie",
"affiliation": "N",
"endpointDescription": "Online Practice Software",
"address_1": "630 River Falls Ct",
"city": "Roswell",
"state": "GA",
"country_code": "US",
"postal_code": "300765120",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.