Kristin Dugger Cuculovski, RDN

Primary specialty

Oncology Nutrition Registered DietitianTaxonomy code 133VN1301X

License

4247 Issued in GA

Practice address

2030 Powers Ferry Rd SE Ste 325
Atlanta, GA 30339-5065

Phone

(404) 987-1101

NPI assigned

Jun 20, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1497169189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "993 JOHNSON FY RD NE STE D250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421646",
            "telephone_number": "404-236-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 POWERS FERRY RD SE STE 325",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395065",
            "telephone_number": "404-987-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUCULOVSKI",
        "first_name": "KRISTIN",
        "middle_name": "DUGGER",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-20",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD004247",
            "primary": false
        },
        {
            "code": "133VN1301X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Oncology",
            "state": "GA",
            "license": "4247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chandler Lee Cubbedge, MD
• Joseph F. Cubells, MD
• Virginia Cuberson
• Bobb G Cucher, MD
• Katherine Anne Cucinotta
• Satish Cuddapah, MD
• Robert Cudia, D.M.D.
• Nana Cudjoe, MD
• Jonathan Cuevas Beltran
• Valerie Victoria Cuffee, VALERIE CUFFEE MST

• Registered Dietitian in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.

Verify at the official NPI Registry.