Individual provider Active NPI

Isabella Porrazzo

  • Registered Dietitian
  • Duluth, GA
National Provider Identifier
1487457073
Registry record updated Mar 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
3305 Breckinridge Blvd
#116
Duluth, GA 30096
Phone
(770) 495-9775
NPI assigned
Mar 29, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

3305 Breckinridge Blvd
#116
Duluth, GA 30096

Mailing address

1101 Peachtree Park Dr NE
Atlanta, GA 30309-1306
Phone (571) 425-5536

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

Practice roles

OrganizationSpecialtyStatusNew patients
Manna Scholarship Fund Inc CurrentSince Mar 30, 2025 Accepting new patients
Manna Treatment LLC PastSince Mar 30, 2025 Accepting new patients

Locations

3305 Breckinridge Blvd
Ste 116
Duluth, GA 30096
Phone (770) 495-9775

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1743206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743206400000",
    "number": "1487457073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 PEACHTREE PARK DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091306",
            "telephone_number": "571-425-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 BRECKINRIDGE BLVD",
            "address_2": "#116",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "30096",
            "telephone_number": "770-495-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORRAZZO",
        "first_name": "ISABELLA",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-03-29",
        "last_updated": "2025-03-29",
        "certification_date": "2025-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2025; 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.