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Active NPI 1740980705 Individual Practitioner Female Practitioner

Siham Bouchannout , RD

Dietitian, Registered • Evans, GA

Professional Overview & Biography Verified Profile Summary

Siham Bouchannout, RD is a registered healthcare professional specializing in Dietitian, Registered in Evans, GA. Practice services are available at 4720 WASHINGTON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4720 Washington Rd

Evans, GA 308095875

Telephone 7068543410

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Evans, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.2 Yrs
Regional Practice Density
7 Specialists

Practicing in Evans, GA (1541 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-06-12
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License GA LD004065

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Srinivasa Venkata Kasina , MBBS

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1558882217

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Anne-Marie Addleton , APRN

Nurse Practitioner

NPI 1912623646

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location June 12, 2023

Registered at 4720 WASHINGTON RD, EVANS, GA 308095875 (Tel: 7068543410)

NPI Profile Active March 08, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 08, 2023

Registered at 914 CAMMARON WAY, MARTINEZ, GA 309070935 (Tel: 7067994391)

📍
Updated Business Mailing Address March 08, 2023

Registered at 914 CAMMARON WAY, MARTINEZ, GA 309070935

👤
Provider Name / Credentials Updated March 08, 2023

Recorded as SIHAM BOUCHANNOUT, RD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2023

Dietitian, Registered (License #LD004065 in GA)

🟢
Initial NPI Registration & Enumeration March 08, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740980705
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 08, 2023
Last Update: June 12, 2023
Sole Proprietor: Yes

Mailing Address

914 Cammaron Way

Martinez, GA 309070935

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.