Active NPI
Marc L Giant
- Registered Dietitian
- Grand Haven, MI
National Provider Identifier
1104664853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86027488
- Practice address
- 100 Washington Ave Apt 306
Grand Haven, MI 49417-1367 - Phone
- (248) 404-7939
- NPI assigned
- Jul 17, 2024
- Sex
- Male
- 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 | 86027488 | MI | Primary |
Addresses
Primary practice location
100 Washington Ave Apt 306
Grand Haven, MI 49417-1367
Mailing address
100 Washington Ave Apt 306
Grand Haven, MI 49417-1367
Phone (248) 404-7939
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86027488 | MI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
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": "1721174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1104664853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WASHINGTON AVE APT 306",
"city": "GRAND HAVEN",
"state": "MI",
"postal_code": "494171367",
"telephone_number": "248-404-7939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WASHINGTON AVE APT 306",
"city": "GRAND HAVEN",
"state": "MI",
"postal_code": "494171367",
"telephone_number": "248-404-7939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIANT",
"first_name": "MARC",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-17",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MI",
"license": "86027488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Haven, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.