Elizabeth Holly Redmond, PHD, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD001167 Issued in GA

Practice address

1201 W Peachtree St Ste 2312
Atlanta, GA 30309-3449

Phone

(404) 394-5997

NPI assigned

Apr 18, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1669035234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 SPRING CREEK RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300332743",
            "telephone_number": "404-394-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W PEACHTREE ST STE 2312",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093449",
            "telephone_number": "404-394-5997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDMOND",
        "first_name": "ELIZABETH",
        "middle_name": "HOLLY",
        "name_prefix": "Dr.",
        "credential": "PHD, RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-18",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD001167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.nutritionprovisions.com/contact",
            "affiliation": "N",
            "endpointDescription": "website contact",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "bredmond@nutritionprovisions.com",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "bredmond@nutritionprovisions.com",
            "address_1": "1201 W Peachtree St Ste 2312",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303093449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cerinena Redman-McLean
• Andrea Redman, RPH
• Carolyn Denise Redmon, RN
• Courtney T Redmond III
• Destiny Redmond, LPC
• Travis Redmond
• Raidel Redondo, PHARMD
• Tiffany Brenyce Redus, PHARMD
• Redwood Private Care, LLC
• William Mathew Redwood, MD

• Registered Dietitian in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; 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.