Active NPI
Karen Porter, RD, LD
- Registered Dietitian
- Kennesaw, GA
National Provider Identifier
1023392719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD003732
- Practice address
- 4490 Calumet Dr NW
Kennesaw, GA 30152-2363 - Phone
- (404) 735-4850
- Fax
- (770) 676-6831
- NPI assigned
- Sep 29, 2011
- Last updated
- Mar 25, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD003732 | GA | Primary |
Addresses
Primary practice location
4490 Calumet Dr NW
Kennesaw, GA 30152-2363
Mailing address
4490 Calumet Dr NW
Kennesaw, GA 30152-2363
Phone (404) 735-2455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roswell Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Locations
5825 Glenridge Dr
Ste 3-101
Sandy Springs, GA 30328
Phone (404) 428-7041
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742860800000",
"number": "1023392719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4490 CALUMET DR NW",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301522363",
"telephone_number": "404-735-2455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4490 CALUMET DR NW",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301522363",
"telephone_number": "404-735-4850",
"fax_number": "770-676-6831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "KAREN",
"credential": "RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-29",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD003732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.