Active NPI
Mary Martin Martin Nordness, MA, RDN, LD
- Registered Dietitian
- Auburn, AL
National Provider Identifier
1043066715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1699
- Practice address
- 1249 Falls Crest PL
Auburn, AL 36830-1529 - Phone
- (334) 707-5067
- Fax
- (334) 339-6342
- NPI assigned
- Apr 24, 2024
- Last updated
- Apr 24, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1699 | AL | Primary |
Addresses
Primary practice location
1249 Falls Crest PL
Auburn, AL 36830-1529
Mailing address
1249 Falls Crest PL
Auburn, AL 36830-1529
Phone (334) 707-5067
Other practice location 1
1716 Catherine Ct Unit 1A
Auburn, AL 36830-5735
Phone (334) 707-5967
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)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713916800000",
"number": "1043066715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1249 FALLS CREST PL",
"city": "AUBURN",
"state": "AL",
"postal_code": "368301529",
"telephone_number": "334-707-5067",
"fax_number": "334-339-6342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1249 FALLS CREST PL",
"city": "AUBURN",
"state": "AL",
"postal_code": "368301529",
"telephone_number": "334-707-5067",
"fax_number": "334-339-6342"
}
],
"practiceLocations": [
{
"address_1": "1716 Catherine Ct Unit 1A",
"address_purpose": "LOCATION",
"city": "Auburn",
"state": "AL",
"postal_code": "368305735",
"country_code": "US",
"telephone_number": "334-707-5967",
"fax_number": "334-339-6342",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NORDNESS",
"first_name": "MARY MARTIN",
"middle_name": "MARTIN",
"credential": "MA, RDN, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-24",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AL",
"license": "1699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.