Active NPI
Marisa Anne Tassi, MS, RDN, LDN
- Registered Dietitian
- Gloucester, MA
National Provider Identifier
1104699875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 5679
- Practice address
- 298 Washington St
Gloucester, MA 01930-4889 - Phone
- (978) 381-7505
- NPI assigned
- Nov 3, 2023
- Last updated
- Nov 3, 2023
- Sex
- Female
- 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 | 5679 | MA | Primary |
Addresses
Primary practice location
298 Washington St
Gloucester, MA 01930-4889
Mailing address
8 Birch Pond Dr
Saugus, MA 01906-1292
Phone (617) 383-1763
Other practice location 1
85 Herrick St
Beverly, MA 01915-1777
Phone (978) 816-2501
Other practice location 2
60 Granite St
Lynn, MA 01904-2915
Phone (920) 059-9781
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5679 | MA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1104699875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 BIRCH POND DR",
"city": "SAUGUS",
"state": "MA",
"postal_code": "019061292",
"telephone_number": "617-383-1763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "298 WASHINGTON ST",
"city": "GLOUCESTER",
"state": "MA",
"postal_code": "019304889",
"telephone_number": "978-381-7505"
}
],
"practiceLocations": [
{
"address_1": "85 Herrick St",
"address_purpose": "LOCATION",
"city": "Beverly",
"state": "MA",
"postal_code": "019151777",
"country_code": "US",
"telephone_number": "978-816-2501",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "60 Granite St",
"address_purpose": "LOCATION",
"city": "Lynn",
"state": "MA",
"postal_code": "019042915",
"country_code": "US",
"telephone_number": "920-059-9781",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TASSI",
"first_name": "MARISA",
"middle_name": "ANNE",
"name_prefix": "Miss",
"credential": "MS, RDN, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-03",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "5679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gloucester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.