Pinnacle Diabetes Management LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DX2666 Issued in MD

Legal business name

PINNACLE DIABETES MANAGEMENT LLC

Practice address

867 E Lombard St
Baltimore, MD 21202-4510

Phone

(410) 409-6992

Fax

(866) 538-6990

NPI assigned

Sep 20, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Justin Aaron Kotler, MS, RD, CDE

Title

Program Manager

Phone

(410) 409-6992

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1487905261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "867 E LOMBARD ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212024510",
            "telephone_number": "410-409-6992",
            "fax_number": "866-538-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 E LOMBARD ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212024510",
            "telephone_number": "410-409-6992",
            "fax_number": "866-538-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE DIABETES MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "KOTLER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "410-409-6992",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, RD, CDE"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX2666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya Pinkney
• Sally Mae Pinkstaff, M.D.
• Edward Pinkus
• Howard M Pinn, PHD
• Pinnacle Care Resources Corporation
• Pinnacle Family Care Practice
• Pinnacle Health & Wellness
• Pinnacle Pathways LLC
• Monica Pinning, M.S. CCC-SLP
• Steven Lee Pinson, O.D., PA

• Registered Dietitian in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Registered Dietitian in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.