Individual provider Active NPI

Johna Zora Mailolli, RDN

  • Registered Dietitian
  • St Petersburg, FL
National Provider Identifier
1568345056
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1043521 Issued in FL
Practice address
4435 1St St NE Unit 107
Saint Petersburg, FL 33703-4955
Phone
(201) 538-4899
Fax
(201) 538-4899
NPI assigned
Jul 30, 2025
Last updated
Jul 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 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 1043521 FL Primary

Addresses

Primary practice location

4435 1St St NE Unit 107
Saint Petersburg, FL 33703-4955

Mailing address

4435 1St St NE Unit 107
Saint Petersburg, FL 33703-4955
Phone (201) 538-4899

Other names 1

  • Ms. Johna Zora Mailolli Former name

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

State licenses

LicenseStateTypeSpecialty
1043521FLMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1568345056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4435 1ST ST NE UNIT 107",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337034955",
            "telephone_number": "201-538-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4435 1ST ST NE UNIT 107",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337034955",
            "telephone_number": "201-538-4899",
            "fax_number": "201-538-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAILOLLI",
        "first_name": "JOHNA",
        "middle_name": "ZORA",
        "name_prefix": "Miss",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "1043521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHNA",
            "last_name": "MAILOLLI",
            "middle_name": "ZORA",
            "prefix": "MS.",
            "credential": "RDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 30, 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.