Active NPI
Marisa Martineau Stephens, RDN
- Registered Dietitian
- Queen Creek, AZ
National Provider Identifier
1063045441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 20947 E Mockingbird Dr
Queen Creek, AZ 85142-3789 - Phone
- (480) 221-3579
- NPI assigned
- Feb 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
20947 E Mockingbird Dr
Queen Creek, AZ 85142-3789
Mailing address
21168 E Via del Oro
Queen Creek, AZ 85142-6966
Phone (480) 221-3579
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2005
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3564 E Mesquite St
Gilbert, AZ 85296-1830
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Habits Nutrition | Dietitian, Registered | Current | Accepting new patients |
Locations
4838 E Baseline Rd
Ste 122
Mesa, AZ 85206
Phone (480) 659-2277
Interoperability endpoints
- https://api.platform.athenahealth.com/23882/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Registered Dietitian
- Mesa, AZ
- NPI 1881045375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748563200000",
"number": "1063045441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21168 E VIA DEL ORO",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851426966",
"telephone_number": "480-221-3579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20947 E MOCKINGBIRD DR",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851423789",
"telephone_number": "480-221-3579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "MARISA",
"middle_name": "MARTINEAU",
"name_prefix": "Mrs.",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-13",
"last_updated": "2025-05-30",
"certification_date": "2025-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Queen Creek, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.