NPI age
3 years
Enumerated 2023-03-08
● Active
Type 1 · Individual
Siham Bouchannout, RD
Bouchannout is 1 of 8 dietitian, registered providers in Evans and 1 of 1653 in Georgia.
Primary specialty
Dietitian, Registered
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-06-12
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
3 years
↓ 4 yr below median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties
NPI lifetime · 2023 → 2026
2023-03Enumerated in NPPES
2023
2026
Where they practice
Practice location
4720 Washington Rd
Evans, GA 308095875
Mailing address
914 Cammaron Way
Martinez, GA 309070935
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...
Practice context
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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