Provider Demographics
NPI:1740988997
Name:OUTREACH FOR NUTRITION EDUCATION INC.
Entity type:Organization
Organization Name:OUTREACH FOR NUTRITION EDUCATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:DESHPANDE
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED DIETITIAN
Authorized Official - Phone:678-687-9292
Mailing Address - Street 1:5210 HARBURY LN
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-7541
Mailing Address - Country:US
Mailing Address - Phone:678-687-9292
Mailing Address - Fax:678-954-2554
Practice Address - Street 1:3883 ROGERS BRIDGED ROAD
Practice Address - Street 2:SUITE #304 B
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30097-2809
Practice Address - Country:US
Practice Address - Phone:678-687-9292
Practice Address - Fax:678-954-2554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-17
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
No133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, RenalGroup - Multi-Specialty
No133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight ManagementGroup - Multi-Specialty
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes EducatorGroup - Multi-Specialty
No133VN1101XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, GerontologicalGroup - Single Specialty
No133VN1301XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, OncologyGroup - Single Specialty