Active NPI
Kiki Smalley Frazier, MS,RD,LD
- Registered Dietitian
- Stockbridge, GA
National Provider Identifier
1700095841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD002580
- Practice address
- 309 Borgette CT
Stockbridge, GA 30281-9122 - Phone
- (770) 307-6690
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD002580 | GA | Primary |
Addresses
Primary practice location
309 Borgette CT
Stockbridge, GA 30281-9122
Mailing address
309 Borgette CT
Stockbridge, GA 30281-9122
Phone (770) 307-6690
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD002580 | GA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700095841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 BORGETTE CT",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302819122",
"telephone_number": "770-307-6690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 BORGETTE CT",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302819122",
"telephone_number": "770-307-6690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZIER",
"first_name": "KIKI",
"middle_name": "SMALLEY",
"credential": "MS,RD,LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD002580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockbridge, GA
- Woody J Francis, MD
- Christine Franklin
- Cleveland Sylvester Franklin Sr., RPH
- Tavara Deanna Franklin, LPC
- Ray Michael Frankowiak, CPO
- Terrell Reginaldo Frazier, LCSW, MAC, CADC
- Freedom EMS (Freedom EMS LLC)
- Freedom Health Systems International, LLC (Freedom Chiropractic & Wellness Center)
- Freedom Health Systems LLC (Freedom Health Systems)
- Destiny Freeman
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.