Active NPI
Theresa Marie Schlott, MS, RDN, LDN, CDCES
- Registered Dietitian
- St Petersburg, FL
National Provider Identifier
1497456255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND7040
- Practice address
- 500 Dr Martin Luther King Jr St N Ste 402
St Petersburg, FL 33705-1472 - Phone
- (727) 820-7618
- NPI assigned
- Mar 16, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | ND7040 | FL | Primary |
Addresses
Primary practice location
500 Dr Martin Luther King Jr St N Ste 402
St Petersburg, FL 33705-1472
Mailing address
6800 Gulfport Blvd S Ste 201
South Pasadena, FL 33707-2156
Phone (716) 785-0123
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 |
|---|---|---|---|
| ND7040 | FL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678924800000",
"number": "1497456255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6800 GULFPORT BLVD S STE 201",
"city": "SOUTH PASADENA",
"state": "FL",
"postal_code": "337072156",
"telephone_number": "716-785-0123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 DR MARTIN LUTHER KING JR ST N STE 402",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337051472",
"telephone_number": "727-820-7618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHLOTT",
"first_name": "THERESA",
"middle_name": "MARIE",
"credential": "MS, RDN, LDN, CDCES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-16",
"last_updated": "2023-03-16",
"certification_date": "2023-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND7040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.