Nutrition Service Specialists LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

004000 Issued in GA

Legal business name

NUTRITION SERVICE SPECIALISTS LLC

Practice address

1306 Layor CT
Peachtree City, GA 30269-1876

Phone

(770) 703-5053

Fax

(770) 703-5053

NPI assigned

Apr 1, 2016

Last updated

Apr 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Katherine Garofalo, PHD, MPH, RD/LDNPI 1285013086

Title

Owner

Phone

(770) 703-5053

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Katherine Garofalo, R.D.

  • Registered Dietitian
  • Peachtree City, GA
  • NPI 1285013086

  Dietitian, Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459468800000",
    "number": "1447613914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 LAYOR CT",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691876",
            "telephone_number": "770-703-5053",
            "fax_number": "770-703-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 LAYOR CT",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691876",
            "telephone_number": "770-703-5053",
            "fax_number": "770-703-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION SERVICE SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-01",
        "last_updated": "2016-04-01",
        "status": "A",
        "authorized_official_last_name": "GAROFALO",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-703-5053",
        "authorized_official_credential": "PHD, MPH, RD/LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "004000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.