1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Dietitian Registered
  6. NPI Profile

ELIZABETH B REVILLA MS, RD, LD, CSP
NPI 1265631436
Dietitian, Registered - Nutrition, Pediatric in Atlanta, GA

Active since July 17, 2007
1547 CLIFTON RD NE, ATLANTA, GA 30322(404) 785-1784(404) 727-4828 Get Directions Write a Review

NPPES record last updated: July 17, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elizabeth B Revilla Ms, Rd, Ld, Csp NPPES

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

ELIZABETH B REVILLA MS, RD, LD, CSP (NPI 1265631436) is an individual nutrition, pediatric provider in Atlanta, Georgia, licensed in Georgia (LD002723) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1265631436
Entity TypeIndividualFemale
Primary Taxonomy133VN1004X
Provider Legal NameELIZABETH B REVILLACredential: MS, RD, LD, CSP
Location Address1547 CLIFTON RD NEAtlanta, GA 30322-4008
Mailing Address1547 Clifton Rd NeAtlanta, GA 30322-4008 · (404) 785-1784 · Fax (404) 727-4828
Phone(404) 785-1784
Fax(404) 727-4828
Sole ProprietorNo
Enumeration DateJuly 17, 2007
✔ NPI 1265631436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, PediatricDietary & Nutritional Service Providers
Taxonomy Code133VN1004X
License✔ Licensed in GA · LD002723
Definition
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.
1547 CLIFTON RD NE, Atlanta, GA 30322
Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

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

ZOBIYA Z MOMIN MD
Emergency Medicine (Pediatric Emergency Medicine)
1547 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 543-4268
JEANNETTE MARIE PEABODY RN
Registered Nurse
1547 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 712-3930
JEFFREY OKONYE M.D.
Pediatrics (Pediatric Emergency Medicine)
1547 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 785-7142

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 Elizabeth Revilla's NPI number?

The NPI number for Elizabeth Revilla is 1265631436. It was assigned to this individual provider in the NPPES registry on July 17, 2007.

Where is Elizabeth Revilla located?

Elizabeth Revilla practices at 1547 Clifton Rd NE, Atlanta, GA 30322. The listed phone number is (404) 785-1784.

What is Elizabeth Revilla's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Pediatric, with taxonomy code 133VN1004X.

When was this NPI record last updated?

The NPPES record for Elizabeth Revilla was last updated on July 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.