Individual provider Active NPI

Marlene Carneiro, RD

  • Lactation Consultant (Non-RN)
  • Katonah, NY
National Provider Identifier
1033498530
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-56295 Issued in NU
Practice address
113 Whitlockville Rd
Katonah, NY 10536
Phone
(914) 497-1172
NPI assigned
Aug 15, 2011
Last updated
Jul 31, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU
Lactation Consultant (Non-RN) 174N00000X L-56295 NU Primary

Addresses

Primary practice location

113 Whitlockville Rd
Katonah, NY 10536

Mailing address

113 Whitlockville Rd
Katonah, NY 10536-1114
Phone (914) 497-1172

Other practice location 1

55 Palmer Ave
Bronxville, NY 10708-3403
Phone (914) 787-5060

Other names 1

  • Marlene Vranich 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

State licenses

LicenseStateTypeSpecialty
007321NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1033498530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 WHITLOCKVILLE RD",
            "city": "KATONAH",
            "state": "NY",
            "postal_code": "105361114",
            "telephone_number": "914-497-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 WHITLOCKVILLE RD",
            "city": "KATONAH",
            "state": "NY",
            "postal_code": "10536",
            "telephone_number": "914-497-1172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Palmer Ave",
            "address_purpose": "LOCATION",
            "city": "Bronxville",
            "state": "NY",
            "postal_code": "107083403",
            "country_code": "US",
            "telephone_number": "914-787-5060",
            "fax_number": "914-787-5059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARNEIRO",
        "first_name": "MARLENE",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-15",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NU",
            "license": "L-56295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLENE",
            "last_name": "VRANICH",
            "credential": "IBCLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Katonah, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.