Individual provider Active NPI

Marian D Lalevee, MS RD CDE LDN

  • Registered Dietitian
  • Harwich Port, MA
National Provider Identifier
1033162664
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
780 Issued in MA
Practice address
537 Route 28
Port Centre BLDG, Suite 2G
Harwich Port, MA 02646
Phone
(508) 945-3897
Fax
(508) 945-1768
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 780 MA Primary

Addresses

Primary practice location

537 Route 28
Port Centre BLDG, Suite 2G
Harwich Port, MA 02646

Mailing address

39 Wonkapit Way
Chatham, MA 02633-1258
Phone (508) 945-3897

Other names 1

  • Mrs. Marian Lalevee Dubovik Other name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
780MAMDBehavioral Analyst

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1033162664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 WONKAPIT WAY",
            "city": "CHATHAM",
            "state": "MA",
            "postal_code": "026331258",
            "telephone_number": "508-945-3897",
            "fax_number": "508-945-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 ROUTE 28",
            "address_2": "PORT CENTRE BLDG, SUITE 2G",
            "city": "HARWICH PORT",
            "state": "MA",
            "postal_code": "02646",
            "telephone_number": "508-945-3897",
            "fax_number": "508-945-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALEVEE",
        "first_name": "MARIAN",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "MS RD CDE LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIAN",
            "last_name": "DUBOVIK",
            "middle_name": "LALEVEE",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Harwich Port, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.