Active NPI
Taylor Knittel, RDN, LDN
- Registered Dietitian
- Atlanta, GA
National Provider Identifier
1285190389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD005306
- Practice address
- 3193 Howell Mill Rd NW Ste 125
Atlanta, GA 30327-2100 - Phone
- (470) 419-4380
- NPI assigned
- Feb 13, 2019
- Last updated
- Feb 13, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD005306 | GA | Primary |
Addresses
Primary practice location
3193 Howell Mill Rd NW Ste 125
Atlanta, GA 30327-2100
Mailing address
4558 Brigade CT NE
Roswell, GA 30075-2067
Phone (517) 896-5562
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD005306 | GA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550016000000",
"number": "1285190389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4558 BRIGADE CT NE",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300752067",
"telephone_number": "517-896-5562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3193 HOWELL MILL RD NW STE 125",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303272100",
"telephone_number": "470-419-4380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNITTEL",
"first_name": "TAYLOR",
"credential": "RDN, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-13",
"last_updated": "2019-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD005306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Feb 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.