Colleen McCarthy, RD, LD, CLT

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD003946 Issued in GA

Practice address

12600 Deerfield Pkwy
Suite 100
Alpharetta, GA 30004-6108

Phone

(678) 404-7442

NPI assigned

Sep 11, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361232000000",
    "number": "1174873715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12850 HIGHWAY 9 N",
            "address_2": "SUITE 600-180",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300044231",
            "telephone_number": "678-404-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 DEERFIELD PKWY",
            "address_2": "SUITE 100",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300046108",
            "telephone_number": "678-404-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "COLLEEN",
        "credential": "RD, LD, CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-11",
        "last_updated": "2013-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD003946",
            "primary": true
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "GA",
            "license": "LD003946",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "GA",
            "license": "LD003946",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corey J. Mazer, DDS
• Jacqueline Page McAleese, LCSW
• Connor McAlister
• Victoria Ann McBride, SPEECH & LANGUAGE PA
• MCC Counseling Services
• Daniel Joseph McCarthy, MMSC, PA-C
• Kendra McCarty
• Joseph Phillip McClendon
• Joyah McClendon
• Donna M McCloud-Davis, FNP-BC

• Registered Dietitian in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.