MS. DEJA IVY MS, RD , LD
NPI 1417770629
Dietitian, Registered in Atlanta, GA

Active since November 05, 2024
1448 JEFFERSON DR, ATLANTA, GA 30350(773) 891-6240 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Deja Ivy Ms, Rd , Ld NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. DEJA IVY MS, RD , LD (NPI 1417770629) is an individual dietitian, registered in Atlanta, Georgia, licensed in Georgia (LD006151) and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1417770629
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMS. DEJA IVYCredential: MS, RD , LD
Location Address1448 JEFFERSON DRAtlanta, GA 30350-7121
Mailing Address1448 Jefferson DrAtlanta, GA 30350-7121 · (773) 891-6240
Sole ProprietorYes
Enumeration DateNovember 5, 2024
Last NPPES UpdateNovember 7, 2024
NPPES CertifiedNovember 7, 2024
NPI 1417770629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License Licensed in GA · LD006151
Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

1448 JEFFERSON DR, Atlanta, GA 30350

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417770629, enumerated as an "individual" on November 05, 2024.

The provider is located at 1448 JEFFERSON DR ATLANTA, GA 30350 and the phone number is (773) 891-6240.

Dietitian, Registered with taxonomy code 133V00000X.