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ANGELO CAPOZZOLI RD CSR LD NPI 1235179797


NPI Information

NPI: 1235179797
Provider Name: ANGELO CAPOZZOLI, RD, CSR, LD
Classification: Dietitian, Registered - 133VN1005X
Entity Type: Individual

Specialization: Nutrition, Renal

Address:
1462 MONTREAL RD
SUITE 203
TUCKER, GA
ZIP 30084
Phone: (770) 674-5458
Get Directions

Angelo Capozzoli, RD, CSR, LD is a nutrition and renal dietitian registered in Tucker, GA. The provider is an individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transplant) in a variety of settings, OR works indirectly in management, education, or research practice linked specifically to renal nutrition. The specialist in renal/nephrology nutrition is responsible for nutrition assessment, diagnosis, intervention, monitoring, and evaluation. Angelo Capozzoli, RD, CSR, LD NPI is 1235179797. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1462 MONTREAL RD
SUITE 203
TUCKER, GA
ZIP 30084-929
Phone: (770) 674-5458
Fax: (770) 674-1871

The enumeration date for this NPI number is 6/6/2006 and was last updated on 10/23/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133V00000XDietitian, RegisteredLDN0000001874TENNESSEENo
2133VN1005XDietitian, RegisteredNutrition, RenalLD001724GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
171BBBSWMEDICARE ID-TYPE UNSPECIFIEDGEORGIA
271BBBBHMEDICARE ID-TYPE UNSPECIFIEDGEORGIA
3P46390MEDICARE UPINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.