NPI Code Detail JSON Logo

1093199622 NPI number — MERCY AREMU RD,LDN

NPI Number: 1093199622
Health Care Provider/Practitioner: MERCY AREMU RD,LDN

Information about “1093199622” NPI (MERCY AREMU RD,LDN) exists in 1093199622 in HTML format HTML  |  1093199622 in plain Text format TXT  |  1093199622 in PDF (Portable Document Format) PDF  |  1093199622 in an XML format XML  formats.

NPI Number : 1093199622 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1093199622",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "AREMU",
    "FirstName": "MERCY",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "RD,LDN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 3021",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOGANVILLE",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30052-1968",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "704-691-3055",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2330 SCENIC HWY S STE 203",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SNELLVILLE",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30078-3115",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "770-881-8651",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/14/2015",
    "LastUpdateDate": "08/30/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "06/26/2020",
    "NPIReactivationDate": "08/10/2022",
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "133V00000X",
          "TaxonomyName": "Registered Dietitian",
          "LicenseNumber": "L004135",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "133VN1005X",
          "TaxonomyName": "Renal Nutrition Registered Dietitian",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "133VN1006X",
          "TaxonomyName": "Metabolic Nutrition Registered Dietitian",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "133VN1201X",
          "TaxonomyName": "Obesity and Weight Management Nutrition Registered Dietitian",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "133V00000X",
          "TaxonomyName": "Registered Dietitian",
          "LicenseNumber": "LD004073",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2025 Data Labs Health. All rights reserved.