NPIMap

Organization Active NPI

Benardot Nutrition, LLC

  • Registered Dietitian
  • Sandy Springs, GA
National Provider Identifier
1225299555
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD002791 Issued in GA
Legal business name
BENARDOT NUTRITION, LLC
Practice address
5825 Glenridge Dr NE
Suite 2-107
Sandy Springs, GA 30328-5387
Phone
(404) 567-5029
Fax
(404) 601-5484
NPI assigned
Jun 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Robin Lea Benardot, RD, LDNPI 1700047024
Title
President
Phone
(404) 567-5029

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X LD002791 GA Primary

Addresses

Primary practice location

5825 Glenridge Dr NE
Suite 2-107
Sandy Springs, GA 30328-5387

Mailing address

5825 Glenridge Dr NE
Suite 2-107
Sandy Springs, GA 30328-5387
Phone (404) 567-5029

National Provider Directory

National Provider Directory

Locations

5825 Glenridge Dr
Ste 2-107
Sandy Springs, GA 30328
Phone (404) 567-5029

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1225299555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 GLENRIDGE DR NE",
            "address_2": "SUITE 2-107",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303285387",
            "telephone_number": "404-567-5029",
            "fax_number": "404-601-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 GLENRIDGE DR NE",
            "address_2": "SUITE 2-107",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303285387",
            "telephone_number": "404-567-5029",
            "fax_number": "404-601-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENARDOT NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "BENARDOT",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-567-5029",
        "authorized_official_credential": "RD, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD002791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.