Individual provider Active NPI

Theresa Marie Schlott, MS, RDN, LDN, CDCES

  • Registered Dietitian
  • St Petersburg, FL
National Provider Identifier
1497456255
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND7040 Issued in FL
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

Updated by the provider on Mar 16, 2023

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 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

LicenseStateTypeSpecialty
ND7040FLMDRegistered 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.

Verify at the official NPI Registry.