Individual
KRISTEN AVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CDCES
Contact information
Practice address
1380 W MARIETTA ST NW, ATLANTA, GA 30318-4974
(404) 981-6533
Mailing address
1524 DEERWOOD DR, DECATUR, GA 30030-4516
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD005269
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22200347
CERTIFICATION BOARD FOR DIABETES CARE AND EDUCATION
—
01
—
86032146
COMMISSION ON DIETETIC REGISTRATION
—
01
—
LD005269
GEORGIA PROFESSIONAL LICENSING BOARD
GA
Enumeration date
10/12/2020
Last updated
05/22/2026
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