Mariam M Basma, RD
Individual provider Active NPI Registered Dietitian · Dover, DE
NPI 1073575239 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1073575239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- DN-0000224 (DE)
- Practice address
- 640 S State St
Dover, DE 19901-3530 - Phone
- (302) 744-6842
- NPI assigned
- Apr 4, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nourish, Inc.
Practice addresses (Care Compare)
3724 Jefferson St
Suite 104
Austin, TX 78731-6204
Phone (512) 693-7045
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240417003712 | TX | Practitioner - Registered Dietitian Or Nutrition Professional | 2668463621 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN-0000224 | DE | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Current |
Accepting new patients |
| Sodexo Operations LLC | Dietitian, Registered | Past | Accepting new patients |
Locations
4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872
515 S Flower St
#1015
Los Angeles, CA 90071
250 Fillmore St
Unit 150
Denver, CO 80206
Phone (410) 505-0521
401 N Michigan Ave
Ste 1200
Chicago, IL 60611
Phone (224) 496-6940
500 Westover Dr
Sanford, NC 27330
Phone (478) 766-4000
1531 32nd Ave S
Ste 102
Fargo, ND 58103
Phone (281) 762-0659
2929 Arch St
Ste 1700
Philadelphia, PA 19104
Phone (609) 934-2597
1320 Main St
Ste 300
Columbia, SC 29201
Phone (803) 386-1541
3724 Jefferson St
Ste 104
Austin, TX 78731
Phone (512) 399-9039
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DN-0000224 | DE | Yes |
Addresses
Primary practice location
640 S State St
Dover, DE 19901-3530
Mailing address
6 Maureen Way
Bear, DE 19701-6338
Phone (302) 836-9476
Other providers in Dover, DE
- Jeannie Barry
- Michal J Bartel
- Susan Bartels
- Hollis Kendall Barton Jr.
- Jeffrey C Barton
- Rashaad Baten
- Charles C. Bates
- Shirlronia Batista
- John Batka
- Margaret Battiato
All providers in Dover, DE · Registered Dietitian in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.