Active NPI
Malissa Sarver, MS,RDN,LD,CDE
- Registered Dietitian
- Portsmouth, OH
National Provider Identifier
1134467459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1954
- Practice address
- 919 7TH St
Portsmouth, OH 45662-4104 - Phone
- (740) 821-0863
- NPI assigned
- Jan 21, 2013
- 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 | 1954 | KY | Primary |
Addresses
Primary practice location
919 7TH St
Portsmouth, OH 45662-4104
Mailing address
919 7TH St
Portsmouth, OH 45662-4104
Phone (740) 354-5648
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 |
|---|---|---|---|
| 1954 | KY | MD | Developmental Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maverick Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
919 7th St
Portsmouth, OH 45662
Phone (740) 370-9416
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": "1358726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550016000000",
"number": "1134467459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "919 7TH ST",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456624104",
"telephone_number": "740-354-5648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "919 7TH ST",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456624104",
"telephone_number": "740-821-0863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARVER",
"first_name": "MALISSA",
"credential": "MS,RDN,LD,CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-21",
"last_updated": "2019-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KY",
"license": "1954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.