Atlanta Macklin, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT86780 Issued in TX

Practice address

2115 Stephens PL Ste 400B
New Braunfels, TX 78130-2167

Phone

(210) 439-1714

Fax

(830) 730-5652

NPI assigned

Feb 11, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ahimsa Integrative Nutrition LLC

  • Registered Dietitian
  • La Grande, OR
  • NPI 1013841410

  Dietitian, Registered

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1083207948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 CAMBRIDGE DR",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781324333",
            "telephone_number": "210-439-1714",
            "fax_number": "830-730-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 STEPHENS PL STE 400B",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781302167",
            "telephone_number": "210-439-1714",
            "fax_number": "830-730-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKLIN",
        "first_name": "ATLANTA",
        "credential": "RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT86780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "DT86780",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ian Daniel Mabry, PT
• Mac Medical & Aesthetics Co.
• Maciel 2 LLC
• Amy Mack
• Tanner Lee Mackay, FNP-C
• Macmullen 22 LLC
• Amber Nicole Macwilliam, DO
• Madison D. Lowry, M.D., P.a.
• Madrone Center for Counseling, PLLC
• Juliana Magalhaes Panace, DDS

• Registered Dietitian in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.