ANGELO CAPOZZOLI RD, CSR, LD
NPI 1235179797
Dietitian, Registered - Nutrition, Renal in Tucker, GA

Active since June 06, 2006
1462 MONTREAL RD, SUITE 203, TUCKER, GA 30084(770) 674-5458(770) 674-1871 Get Directions Write a Review

NPPES record last updated: October 23, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Angelo Capozzoli Rd, Csr, Ld NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELO CAPOZZOLI RD, CSR, LD (NPI 1235179797) is an individual nutrition, renal provider in Tucker, Georgia, licensed in Georgia (LD001724) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1235179797
Entity TypeIndividualMale
Primary Taxonomy133VN1005X
Provider Legal NameANGELO CAPOZZOLICredential: RD, CSR, LD
Location Address1462 MONTREAL RD, SUITE 203Tucker, GA 30084-6929
Mailing Address1462 Montreal Rd, Suite 203Tucker, GA 30084-6929 · (770) 674-5458 · Fax (770) 674-1871
Fax(770) 674-1871
Sole ProprietorNo
Enumeration DateJune 6, 2006
Last NPPES UpdateOctober 23, 2007
NPI 1235179797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDietitian, Registered · Nutrition, RenalDietary & Nutritional Service Providers
Taxonomy Code133VN1005X
License Licensed in GA · LD001724
Definition
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.
Also ListedDietitian, RegisteredTaxonomy 133V00000X · License LDN0000001874 (TN)
1462 MONTREAL RD, Tucker, GA 30084

Other Identifiers 3

Medicare ID-Type Unspecified71BBBSWGA
Medicare ID-Type Unspecified71BBBBHGA
Medicare UPINP46390GA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
1462 MONTREAL RD, SUITE 412
TUCKER, GA 30084
Specialist
1462 MONTREAL RD, STE 218
TUCKER, GA 30084
Pharmacy Technician
1462 MONTREAL RD
TUCKER, GA 30084
Internal Medicine
1462 MONTREAL RD, 307
TUCKER, GA 30084
Pediatrics
1462 MONTREAL RD, STE 411
TUCKER, GA 30084
Pediatrics (Adolescent Medicine)
1462 MONTREAL RD, STE 212
TUCKER, GA 30084
Dietitian, Registered
1462 MONTREAL RD, SUITE 203
TUCKER, GA 30084
Clinic/Center (Ambulatory Surgical)
1462 MONTREAL RD, SUITE 109
TUCKER, GA 30084

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angelo Capozzoli's NPI number?

The NPI number for Angelo Capozzoli is 1235179797. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Angelo Capozzoli located?

Angelo Capozzoli practices at 1462 Montreal Rd Suite 203, Tucker, GA 30084. The listed phone number is (770) 674-5458.

What is Angelo Capozzoli's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Renal, with taxonomy code 133VN1005X.

When was this NPI record last updated?

The NPPES record for Angelo Capozzoli was last updated on October 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.