Organization Active NPI

Suitable Nutrition, LLC

  • Registered Dietitian
  • Roswell, GA
National Provider Identifier
1992427645
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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

Updated by the provider on Sep 19, 2022

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)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
LD004817OtherGAGEORGIA PROFESSIONAL LICENSING BOARDS DIVISION

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Healthie

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.