Active NPI
Dietitian Dish
- Registered Dietitian
- Atlanta, GA
National Provider Identifier
1235726845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- DIETITIAN DISH
- Practice address
- 2692 Galahad Dr NE
Atlanta, GA 30345-3627 - Phone
- (704) 351-1552
- NPI assigned
- Dec 29, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christina Ellenberg, MS, RD, LDN, CSCS
- Title
- Registered Dietitian
- Phone
- (704) 351-1552
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
2692 Galahad Dr NE
Atlanta, GA 30345-3627
Mailing address
2692 Galahad Dr NE
Atlanta, GA 30345-3627
Phone (704) 351-1552
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LD004769 | Other | GA | LICENSED DIETITIAN |
| L008727 | Other | NC | NORTH CAROLINA BOARD OF DIETETICS/NUTRITION |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | PracticeBetter | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778630400000",
"number": "1235726845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2692 GALAHAD DR NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303453627",
"telephone_number": "704-351-1552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2692 GALAHAD DR NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303453627",
"telephone_number": "704-351-1552"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIETITIAN DISH",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-29",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A",
"authorized_official_last_name": "ELLENBERG",
"authorized_official_first_name": "CHRISTINA",
"authorized_official_title_or_position": "REGISTERED DIETITIAN",
"authorized_official_telephone_number": "704-351-1552",
"authorized_official_credential": "MS, RD, LDN, CSCS"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED DIETITIAN",
"identifier": "LD004769",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH CAROLINA BOARD OF DIETETICS/NUTRITION",
"identifier": "L008727",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "PracticeBetter",
"affiliation": "N",
"endpointDescription": "HIIPA compliant portal",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1964 Variations Dr NE",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "303291053",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.