NPI age
16 years
Enumerated 2009-08-17
● Active
Type 1 · Individual
MS. Yaqutullah Ibraheem, MS, RD, LD
Ibraheem is 1 of 375 dietitian, registered providers in Atlanta and 1 of 1653 in Georgia.
Primary specialty
Dietitian, Registered
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-12-19
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1653 active dietitian, registered providers in Georgia.
NPI age
16 years
↑ 9 yr above median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties
NPI lifetime · 2009 → 2026
2009-08Enumerated in NPPES
2009
2026
Where they practice
Practice location
4071 Codel St Sw
Atlanta, GA 303314355
Mailing address
2670 Miriam Ln
Decatur, GA 300325731
Specialties
-
Dietitian, Registered PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 1346472834 | NPI |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
Recently enumerated nearby: 24 new dietitian, registered providers have been added in Atlanta in the last 180 days.
See all →
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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