Active NPI
Maryann G Strobel, MS RD LD CDE
- Registered Dietitian
- Largo, FL
National Provider Identifier
1154493435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND4519
- Practice address
- 1301 2ND Ave SW
Largo, FL 33770-3120 - Phone
- (727) 581-8767
- Fax
- (727) 588-9593
- NPI assigned
- Nov 14, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Metabolic Nutrition Registered Dietitian | 133VN1006X | ND4519 | FL | |
| Registered Dietitian | 133V00000X | ND4519 | FL | Primary |
Addresses
Primary practice location
1301 2ND Ave SW
Largo, FL 33770-3120
Mailing address
1301 2ND Ave SW
Largo, FL 33770-3120
Phone (727) 581-8767
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N008Y | Other | FL | FLORIDA BLUE |
| 5963893 | Other | FL | AETNA |
| 377519 | Other | FL | AVMED |
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND4519 | FL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553212800000",
"number": "1154493435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 2ND AVE SW",
"city": "LARGO",
"state": "FL",
"postal_code": "337703120",
"telephone_number": "727-581-8767",
"fax_number": "727-588-9593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 2ND AVE SW",
"city": "LARGO",
"state": "FL",
"postal_code": "337703120",
"telephone_number": "727-581-8767",
"fax_number": "727-588-9593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STROBEL",
"first_name": "MARYANN",
"middle_name": "G",
"credential": "MS RD LD CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2019-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "FL",
"license": "ND4519",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND4519",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BLUE",
"identifier": "N008Y",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5963893",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "377519",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.