Active NPI
Pauline Mary Newman, MS, CNS
- Nutritionist
- Atlanta, GA
National Provider Identifier
1801469069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 18298
- Practice address
- 1 Becker Place NW
Unit 1
Atlanta, GA 30307 - Phone
- (917) 579-6801
- NPI assigned
- Jul 23, 2021
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 18298 | GA | Primary |
Addresses
Primary practice location
1 Becker Place NW
Unit 1
Atlanta, GA 30307
Mailing address
1 Becker Place NW
Unit 1
Atlanta, GA 30307
Phone (917) 579-6801
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | pauline@rockstar-coaching.com | Direct |
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
- Certified Nurse Specialist, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18298 | GA | MD | Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Malla Ventures, Inc. | Nutritionist | 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.
-
- Nutritionist
- Jersey City, NJ
- NPI 1144114729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626998400000",
"number": "1801469069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BECKER PLACE NW",
"address_2": "UNIT 1",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30307",
"telephone_number": "917-579-6801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BECKER PLACE NW",
"address_2": "UNIT 1",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30307",
"telephone_number": "917-579-6801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWMAN",
"first_name": "PAULINE",
"middle_name": "MARY",
"credential": "MS, CNS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-23",
"last_updated": "2021-07-23",
"certification_date": "2021-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "GA",
"license": "18298",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "pauline@rockstar-coaching.com",
"affiliation": "N",
"endpointDescription": "secure email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "misc",
"address_1": "1 Becker Place NW",
"address_2": "Unit 1",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "30307",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.