Individual provider Active NPI

Abbey Folsom, MS, CNS, LDN

  • Nutritionist
  • Tallahassee, FL
National Provider Identifier
1164921649
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
ND8047 Issued in FL
Practice address
1414 Piedmont Dr E Ste 100
Tallahassee, FL 32308-7967
Phone
(850) 820-3837
Fax
(850) 203-4429
NPI assigned
Feb 9, 2018
Last updated
Aug 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X ND8047 FL Primary

Addresses

Primary practice location

1414 Piedmont Dr E Ste 100
Tallahassee, FL 32308-7967

Mailing address

PO Box 495
Tallahassee, FL 32302-0495
Phone (850) 820-3837

Other identifiers 1

IdentifierTypeStateIssuer
119875900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180618003253 FL Practitioner - Registered Dietitian Or Nutrition Professional 5597010421 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Abbey Folsom PLLC Nutritionist CurrentSince Oct 27, 2023 Accepting new patients
Be Strong Therapy Services, LLC CurrentSince Aug 25, 2024 Accepting new patients
John Ness MD PA PastSince Jan 1, 2001 Accepting new patients
Julie Kelch MD PA PastSince Jan 1, 2001 Accepting new patients

Locations

1414 Piedmont Dr E
Ste 100
Tallahassee, FL 32308
Phone (850) 270-7374

1963 Village Green Way
Ste B
Tallahassee, FL 32308
Phone (850) 820-3837

Organizations & group practices 4

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": "1518134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1164921649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 495",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323020495",
            "telephone_number": "850-820-3837",
            "fax_number": "850-203-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 PIEDMONT DR E STE 100",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323087967",
            "telephone_number": "850-820-3837",
            "fax_number": "850-203-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLSOM",
        "first_name": "ABBEY",
        "name_prefix": "Ms.",
        "credential": "MS, CNS, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-09",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "FL",
            "license": "ND8047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119875900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.