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POUTHEAVY LAT TEP-RUTKOWSKI MS, RD, LD
NPI 1568148948
Dietitian, Registered in Snellville, GA

Active since June 22, 2023
2295 RONALD REAGAN PKWY STE 300, SNELLVILLE, GA 30078(770) 982-4115 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Poutheavy Lat Tep-rutkowski Ms, Rd, Ld NPPES

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

POUTHEAVY LAT TEP-RUTKOWSKI MS, RD, LD (NPI 1568148948) is an individual dietitian, registered in Snellville, Georgia, licensed in Georgia (86296100) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1568148948
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NamePOUTHEAVY LAT TEP-RUTKOWSKICredential: MS, RD, LD
Location Address2295 RONALD REAGAN PKWY STE 300Snellville, GA 30078-5739
Mailing Address577 Ives Cir NwLilburn, GA 30047-8726
Phone(770) 982-4115
Sole ProprietorNo
Enumeration DateJune 22, 2023
NPPES CertifiedJune 22, 2023
✔ NPI 1568148948 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 · 86296100
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.
2295 RONALD REAGAN PKWY STE 300, Snellville, GA 30078
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Other Names 1

Other Name (5)Theavy Lat Tep-rutkowski Ms, Rd, Ld

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TISHA V TIPNIS MD
Internal Medicine
2295 RONALD REAGAN PKWY STE 300
SNELLVILLE, GA 30078
Gwinnett County (770) 982-2331
TIFFANI NOELL MURFF RD,LD
Dietitian, Registered
2295 RONALD REAGAN PKWY STE 300
SNELLVILLE, GA 30078
Gwinnett County (770) 982-4118

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Poutheavy Tep-rutkowski's NPI number?

The NPI number for Poutheavy Tep-rutkowski is 1568148948. It was assigned to this individual provider in the NPPES registry on June 22, 2023. The provider is also known as Theavy Lat Tep-Rutkowski Ms, Rd, Ld.

Where is Poutheavy Tep-rutkowski located?

Poutheavy Tep-rutkowski practices at 2295 Ronald Reagan Pkwy Ste 300, Snellville, GA 30078. The listed phone number is (770) 982-4115.

What is Poutheavy Tep-rutkowski's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Poutheavy Tep-rutkowski was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.