Active NPI
Natalie A Flolo, RD, LD, CDE
- Registered Dietitian
- Roswell, GA
National Provider Identifier
1861541740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD003274
- Practice address
- 1 Legacy Dr
Roswell, GA 30075-6235 - Phone
- (678) 466-7025
- Fax
- (678) 466-7025
- NPI assigned
- Jan 9, 2007
- Sex
- Female
- Sole proprietor
- No
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 | LD003274 | GA | Primary |
Addresses
Primary practice location
1 Legacy Dr
Roswell, GA 30075-6235
Mailing address
1 Legacy Dr
Roswell, GA 30075-6235
Phone (678) 466-7025
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD003274 | GA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Physicians LLC | 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.
-
- Nephrology Physician
- Mishawaka, IN
- NPI 1518996719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426291200000",
"number": "1861541740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 LEGACY DR",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300756235",
"telephone_number": "678-466-7025",
"fax_number": "678-466-7025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 LEGACY DR",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300756235",
"telephone_number": "678-466-7025",
"fax_number": "678-466-7025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOLO",
"first_name": "NATALIE",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "RD, LD, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2015-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD003274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.