1. Home
  2. Directory
  3. Georgia
  4. Evans
  5. Dietitian Registered
  6. NPI Profile

SIHAM BOUCHANNOUT RD
NPI 1740980705
Dietitian, Registered in Evans, GA

Active since March 08, 2023
4720 WASHINGTON RD, EVANS, GA 30809(706) 854-3410 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2023, Mar 8, 2023 (2 updates tracked since 2023).

About Siham Bouchannout Rd NPPES

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

SIHAM BOUCHANNOUT RD (NPI 1740980705) is an individual dietitian, registered in Evans, Georgia, licensed in Georgia (LD004065) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1740980705
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameSIHAM BOUCHANNOUTCredential: RD
Location Address4720 WASHINGTON RDEvans, GA 30809-5875
Mailing Address914 Cammaron WayMartinez, GA 30907-0935
Phone(706) 854-3410
Sole ProprietorYes
Enumeration DateMarch 8, 2023
Last NPPES UpdateJune 12, 20232 updates tracked since enumeration
NPPES CertifiedJune 12, 2023
✔ NPI 1740980705 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 · LD004065
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.
4720 WASHINGTON RD, Evans, GA 30809
Open in Google Maps ↗

Other Providers at the Same Location NPPES 8

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

KATIE ANN GRESHAM APRN
Nurse Practitioner (Family)
4720 WASHINGTON RD
EVANS, GA 30809
Columbia County (706) 774-7760
GIANINA LUCIA USERA M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4720 WASHINGTON RD
EVANS, GA 30809
Columbia County (706) 774-5995
ANDREW SANDERS M.D.
Internal Medicine
4720 WASHINGTON RD
EVANS, GA 30809
Columbia County (706) 650-0111
SRINIVASA VENKATA SIVA KUMAR KASINA MBBS
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4720 WASHINGTON RD
EVANS, GA 30809
Columbia County (706) 854-3410
MR. BYRON TYRELL MATHIS PA-C
Physician Assistant
4720 WASHINGTON RD
EVANS, GA 30809
Columbia County (706) 650-0111
EMILY LEE PHYSICIAN ASSISTANT
Physician Assistant
4720 WASHINGTON RD
EVANS, GA 30809
Columbia County (706) 774-7263
DR. LISA MARIE WANNAMAKER D.O.
Family Medicine
4720 WASHINGTON RD
EVANS, GA 30809
Columbia County (706) 774-7263
ANNE-MARIE ADDLETON APRN
Nurse Practitioner
4720 WASHINGTON RD
EVANS, GA 30809
Columbia County (706) 854-3410

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 Siham Bouchannout's NPI number?

The NPI number for Siham Bouchannout is 1740980705. It was assigned to this individual provider in the NPPES registry on March 8, 2023.

Where is Siham Bouchannout located?

Siham Bouchannout practices at 4720 Washington Rd, Evans, GA 30809. The listed phone number is (706) 854-3410.

What is Siham Bouchannout'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 Siham Bouchannout was last updated on June 12, 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.