Active NPI
Lori Ann Scholle, MS, RDN, LD, CBS
- Registered Dietitian
- Decatur, GA
National Provider Identifier
1326479262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD004058
- Practice address
- 615 Ponce de Leon PL
Decatur, GA 30030-5108 - Phone
- (404) 566-4538
- Fax
- (404) 566-4539
- NPI assigned
- Dec 3, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD004058 | GA | Primary |
| Pediatric Nutrition Registered Dietitian | 133VN1004X | LD004058 | GA | |
| Lactation Consultant (Non-RN) | 174N00000X | LD004058 | GA |
Addresses
Primary practice location
615 Ponce de Leon PL
Decatur, GA 30030-5108
Mailing address
PO Box 1623
Decatur, GA 30031-1623
Phone (404) 566-4538
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD004058 | GA | MD | Pediatric Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386028800000",
"number": "1326479262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1623",
"city": "DECATUR",
"state": "GA",
"postal_code": "300311623",
"telephone_number": "404-566-4538",
"fax_number": "404-566-4538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 PONCE DE LEON PL",
"city": "DECATUR",
"state": "GA",
"postal_code": "300305108",
"telephone_number": "404-566-4538",
"fax_number": "404-566-4539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOLLE",
"first_name": "LORI",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MS, RDN, LD, CBS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-03",
"last_updated": "2013-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD004058",
"primary": true
},
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "GA",
"license": "LD004058",
"primary": false
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "GA",
"license": "LD004058",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.