Julia Rechtoris, RD, LD, CSR

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

License

1100281 Issued in GA

Practice address

63 Abberly LN
Ellerslie, GA 31807-5467

Phone

(706) 255-5802

NPI assigned

Sep 20, 2023

Last updated

Sep 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Allara Medical Group PA

  • Gynecology Physician
  • New York, NY
  • NPI 1700450558
  NPD (past)

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1114705027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 ABBERLY LN",
            "city": "ELLERSLIE",
            "state": "GA",
            "postal_code": "318075467",
            "telephone_number": "706-255-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 ABBERLY LN",
            "city": "ELLERSLIE",
            "state": "GA",
            "postal_code": "318075467",
            "telephone_number": "706-255-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECHTORIS",
        "first_name": "JULIA",
        "credential": "RD, LD, CSR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "GA",
            "license": "1100281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Dave Clark, PH.D.
• Renee G Fletcher, EFDA
• Agnes Reene Jakes
• Jeffery A Kitchens, PA
• Kari Grace Smith Kuykendall, MCD CCC-SLP

• Renal Nutrition Registered Dietitian in Ellerslie, GA
• Providers in Ellerslie, GA by specialty
• Renal Nutrition Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.