ELIZABETH B REVILLA


Address: 1547 Clifton Rd Ne, Atlanta, GA 30322-4008
Phone: 4047851784

ELIZABETH B REVILLA (NPI# 1265631436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265631436
Entity Type Individual
Full Name ELIZABETH B REVILLA
Credential MS, RD, LD, CSP
Practice Address 1547 Clifton Rd Ne
Atlanta
GA 30322-4008
Practice Telephone 4047851784
Practice Fax Number 4047274828
Mailing Telephone 4047851784
Mailing Fax Number 4047274828
Enumeration Date 2007-07-17
Last Update Date 2007-07-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133VN1004X Dietitian, Registered
Specialization: Nutrition, Pediatric
LD002723 GA Dietary & Nutritional Service Providers

Office Location

Street Address 1547 CLIFTON RD NE
City ATLANTA
State GA
Zip Code 30322-4008

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952415184 Daniel Matthew Torrez Pediatrics 1547 Clifton Rd Ne, Atlanta, GA 30322-4008 2006-08-17
1689020612 Jeffrey Okonye Pediatrics 1547 Clifton Rd Ne, Atlanta, GA 30322-7593 2016-05-09
1861806952 Susan Mcmanus Clinical Neuropsychologist 1547 Clifton Rd Ne, Suite 200, Atlanta, GA 30322-4008 2014-06-17
1598070112 Jeannette Marie Peabody Registered Nurse 1547 Clifton Rd Ne, Atlanta, GA 30322-4008 2010-08-09
1184760548 Stephanie Pendley Nurse Practitioner 1547 Clifton Rd Ne, Atlanta, GA 30322-4008 2007-01-30
1427090752 Daniel B Caplan Pediatrics 1547 Clifton Rd Ne, 2nd Floor, Atlanta, GA 30322-4008 2006-06-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700445830 Justin Gill Student in an Organized Health Care Education/Training Program 1365 Clifton Rd Ne, Clinic B - Suite B6100, Atlanta, GA 30322 2019-06-12
1891354510 Gwendolyn Gisiner Gunn Genetic Counselor, MS Emory Genetics Clinic, 1365 Clifton Road Ne, Atlanta, GA 30322 2019-06-06
1144710567 Lisa Cathy-ann Akosa Registered Nurse 1365 Cifton Road Ne, Atlanta, GA 30322 2018-05-10
1083118004 Jessica Milian Keilson Student in an Organized Health Care Education/Training Program 1364 Clifton Road Ne, Suite H100, Emory University Hospital Office of Surgical Education, Atlanta, GA 30322 2018-03-23
1568982684 Jennifer Bilko Dietitian, Registered 1365 Clifton Rd., Bldg A, 1st Floor, Suite 1450, Atlanta, GA 30322 2017-06-20
1134652258 Kassahun Bilcha Student in an Organized Health Care Education/Training Program 1525 Clifton Rd Ne Ste 100, Atlanta, GA 30322 2017-04-05
1356872246 Tova Rogers Dermatology 1525 Clifton Road Suite 105, Atlanta, GA 30322 2017-03-23
1194271445 Dina Amin Dentist 1365 Clifton,building B, Oral and Maxillofacial Surgery, Suite 2300, Atlanta, GA 30322 2016-08-28
1427404904 Rita Kaur Kuwahara Student in an Organized Health Care Education/Training Program 100 Woodruff Circle, Suite 327, Atlanta, GA 30322 2016-05-13
1891176251 Octav Cristea Transplant Surgery 1365 Clifton Road Northeast, Building B, 6th Floor, Atlanta, GA 30322 2015-06-11
Find all providers in zip 30322

Taxonomy Information

Taxonomy Code 133VN1004X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Pediatric

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629603691 Meredith Leigh Johnson Dietitian, Registered 1400 Tullie Rd Ne # 8221b, Atlanta, GA 30329-2309 2020-03-10
1144862749 Victoria Baird Dietitian, Registered 1400 Tullie Rd Ne, Atlanta, GA 30329-2309 2019-10-15
1659855765 Lydia Delbridge White Dietitian, Registered 1920 Briarcliff Rd Ne, Atlanta, GA 30329-4010 2018-09-25
1902264153 Nicole Mcgee Smith Dietitian, Registered 1920 Briarcliff Rd Ne, Atlanta, GA 30329-4010 2016-02-03
1447592985 Tiffany Lachelle Avera Dietitian, Registered 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 2013-03-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1811546211 April Lynn Dehetre Perkins Dietitian, Registered 4 N Quail Xing, Savannah, GA 31419-1244 2019-09-09
1407373905 Chelsea Hrovat Dietitian, Registered 1690 Stone Village Ln Nw Ste 322, Kennesaw, GA 30152-7778 2017-08-25
1285058446 Jeanne Baker Mcdaniel Dietitian, Registered 289 Dartmoor Cir, Sandy Springs, GA 30328-1902 2014-02-09
1992004519 Karen Alicia Baldree Dietitian, Registered 122 Oakwood Ct, Tifton, GA 31793-5755 2011-03-22
1720156110 Laura Lee Davis Dietitian, Registered 1640 Powers Ferry Road, Suite 100, Building 9, Marietta, GA 30067-5491 2006-12-01
1770104283 Sierra Jacquelynn Wineinger Dietitian, Registered 1446 Harper St, Augusta, GA 30912-0012 2020-05-06
1053866970 Nourishing Nutrition Consulting LLC Dietitian, Registered 14 Eastbrook Bnd, Suite 212, Peachtree City, GA 30269-1530 2016-08-20
1881039030 Kristen Middleton Dietitian, Registered 1446 Harper St, Bp-3252, Augusta, GA 30912-0012 2013-05-01
1235475765 Brittany Elizabeth Lightsey Dietitian, Registered 4700 Waters Ave, Savannah, GA 31404-6220 2013-01-03
1538332663 Mary Lauren Whiteside Dietitian, Registered 4700 Waters Ave, Food & Nutrition Services, Savannah, GA 31404-6220 2008-04-09
Find all providers with the same taxonomy

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City ATLANTA
Zip Code 30322

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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