City of Gainesville

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

License

133NN1002X Issued in GA

Legal business name

CITY OF GAINESVILLE

Doing business as

Community Service Center

Practice address

430 Prior St SE
Gainesville, GA 30501-3402

Phone

(770) 503-3330

Fax

(770) 503-3344

NPI assigned

Mar 26, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Rhonda Pittman

Title

Administrative Secretary

Phone

(770) 503-3334

Specialties & licenses 1

Addresses

Other names 1

• Community Service Center Doing business as

Locations

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619095098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 PRIOR ST SE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013402",
            "telephone_number": "770-503-3330",
            "fax_number": "770-503-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 PRIOR ST SE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013402",
            "telephone_number": "770-503-3330",
            "fax_number": "770-503-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF GAINESVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "ADMINISTRATIVE SECRETARY",
        "authorized_official_telephone_number": "770-503-3334",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "GA",
            "license": "133NN1002X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Service Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alison Kyle Chwalibog
• Eugene Clarence Cindea, MD
• Sorin George Circa, PA
• Rudolf W Cisco, DPM
• Isabel Annaly Cisneros
• Nathan Drew City, D.O.
• Misty Mullins Clackum, RD, CSP, LDN
• Carrie Leigh Clark, MS, PT
• Hailey Clark
• Kara Schneider Clark, FNP-C

• Nutrition Education Nutritionist in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Nutrition Education Nutritionist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.