Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Adebisi Z Ibrahim, DIETITIAN

Individual provider Registered Dietitian · NPI 1861929085

Adebisi Z Ibrahim, DIETITIAN is a Registered Dietitian OR Nutrition Professional in Fort Stewart, Georgia. Qualified in 2013, 13 years ago. Licensed in New York.

Years since qualifying
13
Licensed in
NY
In the registry since
2017
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Practice location Address checks out

1061 Harmon Ave
Fort Stewart, GA 31314-5641
Phone: (912) 435-6965
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 008731 (NY)

Record details

NPI number1861929085
Entity typeIndividual (Type 1)
GenderFemale
Credentials DIETITIAN
Sole proprietorNo
NPI enumeratedMay 18, 2017
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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