Marissa Gregurek, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT87342 Issued in TX

Practice address

4525 Guadalupe St Apt 207
Austin, TX 78751-3097

Phone

(979) 209-9104

NPI assigned

Jun 28, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1083346134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 GUADALUPE ST APT 207",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787513097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 GUADALUPE ST APT 207",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787513097",
            "telephone_number": "979-209-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGUREK",
        "first_name": "MARISSA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT87342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED DIETITIAN",
            "identifier": "86176279",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED DIETITIAN",
            "identifier": "DT87342",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie M Gregory, COTA
• Kyle Gregory, HIS
• Randy K Gregory, O.T.
• Samantha Lamxay Gregory, LPC
• Terry G Gregory, LPC
• Kirsten Gregurich
• Sarah Leigh Gremillion, LCSW
• Gregory S. Gremmel, MD
• Brandon Carter Gremminger, CRNA
• Kati Marie Gremminger, RDN, LD

• Registered Dietitian in Austin, TX
• Providers in Austin, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.