Individual provider Active NPI

Angela Yvonne Morton, MS, RD, CSR, LD

  • Registered Dietitian
  • Atlanta, GA
National Provider Identifier
1821693177
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD004144 Issued in GA
Practice address
2108 Brookhaven View NE
Atlanta, GA 30319-3195
Phone
(404) 735-5433
NPI assigned
Dec 3, 2020
Last updated
Dec 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Renal Nutrition Registered Dietitian 133VN1005X LD004144 GA
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X LD004144 GA Primary

Addresses

Primary practice location

2108 Brookhaven View NE
Atlanta, GA 30319-3195

Mailing address

2108 Brookhaven View NE
Atlanta, GA 30319-3195
Phone (404) 735-5433

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL angela@georgiarenaldietitian.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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LD004144GAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Dietitian Dietitian, Registered CurrentSince Dec 3, 2023 Accepting new patients
The Georgia Dietitian Dietitian, Registered CurrentSince Feb 18, 2024 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1821693177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 BROOKHAVEN VIEW NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303193195",
            "telephone_number": "404-735-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 BROOKHAVEN VIEW NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303193195",
            "telephone_number": "404-735-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTON",
        "first_name": "ANGELA",
        "middle_name": "YVONNE",
        "credential": "MS, RD, CSR, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "GA",
            "license": "LD004144",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD004144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "angela@georgiarenaldietitian.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2108 Brookhaven View NE",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303193195",
            "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 Dec 3, 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.