Ann Caroline Lafontaine, MA, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD000961 Issued in GA

Practice address

11563 Big Canoe
4054 Soaring Hawk Circle
Big Canoe, GA 30143-5115

Phone

(706) 579-1992

Fax

(866) 900-4295

NPI assigned

Sep 20, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Nutritionmagic, Inc.

  • Registered Dietitian
  • Jasper, GA
  • NPI 1639492879

  Dietitian, Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265587200000",
    "number": "1669570917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11563 BIG CANOE",
            "address_2": "4054 SOARING HAWK CIRCLE",
            "city": "BIG CANOE",
            "state": "GA",
            "postal_code": "301435115",
            "telephone_number": "706-579-1992",
            "fax_number": "866-900-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11563 BIG CANOE",
            "address_2": "4054 SOARING HAWK CIRCLE",
            "city": "BIG CANOE",
            "state": "GA",
            "postal_code": "301435115",
            "telephone_number": "706-579-1992",
            "fax_number": "866-900-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFONTAINE",
        "first_name": "ANN",
        "middle_name": "CAROLINE",
        "name_prefix": "Mrs.",
        "credential": "MA, RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD000961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Perry Brannen, CCC,SLP
• Robert Michael Cargile, M.D.
• Charles Dudleigh Hackett, PH.D.
• Elizabeth Harman Mauldin, LCSW
• Nutritionmagic, Inc.
• Sally Ragonesi, P.T.
• Samuel Relyea
• John Wayne Ross, MD

• Registered Dietitian in Big Canoe, GA
• Providers in Big Canoe, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; 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.