Individual provider Active NPI

Marley Oldham Carnes, RD

  • Registered Dietitian
  • Frisco, TX
National Provider Identifier
1083262117
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT85862 Issued in TX
Practice address
6136 Frisco Square Blvd Ste 400
Frisco, TX 75034-3251
Phone
(469) 300-1392
Fax
(469) 545-0621
NPI assigned
Sep 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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 DT85862 TX Primary

Addresses

Primary practice location

6136 Frisco Square Blvd Ste 400
Frisco, TX 75034-3251

Mailing address

6136 Frisco Square Blvd Ste 400
Frisco, TX 75034-3251
Phone (469) 300-1392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210212000293 TX Practitioner - Registered Dietitian Or Nutrition Professional 0143635755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Marley Nutrition and FitnessGroup PAC ID 9234544842, 2 clinicians

Practice addresses (Care Compare)

6136 Frisco Square Blvd
Suite 400
Frisco, TX 75034-3251
Phone (469) 300-1392

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2515OKMDClinical Social Worker
DT85862TXMDRegistered Dietitian

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1567382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1083262117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6136 FRISCO SQUARE BLVD STE 400",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750343251",
            "telephone_number": "469-300-1392",
            "fax_number": "469-545-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6136 FRISCO SQUARE BLVD STE 400",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750343251",
            "telephone_number": "469-300-1392",
            "fax_number": "469-545-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNES",
        "first_name": "MARLEY",
        "middle_name": "OLDHAM",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-02",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT85862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.

Verify at the official NPI Registry.