Individual provider Active NPI

Nadia Renee Marzella, MS, RD, LDN

  • Registered Dietitian
  • Braselton, GA
National Provider Identifier
1609055987
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD004586 Issued in GA
Practice address
1624 Sahale Falls Dr
Braselton, GA 30517-3441
Phone
(407) 952-2871
NPI assigned
Nov 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 4367 FL
Registered Dietitian 133V00000X 2693 SC
Renal Nutrition Registered Dietitian 133VN1005X 890477
Registered Dietitian 133V00000X LD004586 GA Primary

Addresses

Primary practice location

1624 Sahale Falls Dr
Braselton, GA 30517-3441

Mailing address

1624 Sahale Falls Dr
Braselton, GA 30517-3441
Phone (407) 952-2871

Other names 1

  • Miss Nadia Renee Marx 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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4367FLMDRegistered Dietitian
LD004586GAMDRegistered Dietitian
2693SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1609055987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 SAHALE FALLS DR",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305173441",
            "telephone_number": "407-952-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 SAHALE FALLS DR",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305173441",
            "telephone_number": "407-952-2871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARZELLA",
        "first_name": "NADIA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-02",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "4367",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "SC",
            "license": "2693",
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": null,
            "license": "890477",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD004586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NADIA",
            "last_name": "MARX",
            "middle_name": "RENEE",
            "prefix": "MISS",
            "credential": "MS, RD, LDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Braselton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.