Marissa Campanella, RD, LDN, CEDRD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86026263 Issued in PA

Practice address

3218 Pittston Ave
Scranton, PA 18505

Phone

(570) 731-3200

NPI assigned

Jul 4, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• MLC Nutrition, LLC

  • Registered Dietitian
  • Scranton, PA
  • NPI 1851068746

  Dietitian, Registered

  NPD Authorized official
• Integrated Psychological Services LLC

  • Clinical Psychologist
  • Scranton, PA
  • NPI 1073984183
  NPD (past)

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

{
    "created_epoch": "1404432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1164838694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3218 PITTSTON AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185052964",
            "telephone_number": "570-604-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3218 PITTSTON AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "18505",
            "telephone_number": "570-731-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 N Abington Rd",
            "address_purpose": "LOCATION",
            "city": "Clarks Green",
            "state": "PA",
            "postal_code": "184112300",
            "country_code": "US",
            "telephone_number": "570-604-2733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPANELLA",
        "first_name": "MARISSA",
        "credential": "RD, LDN, CEDRD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-04",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "86026263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Bridget Byrne
• Leora Shifra Calamaro, MD
• James Calpin
• Lauren Rachel Calvey, MS
• Derrick Leon Cameron, M.D., MPH
• Markia Camper, DDS
• Brian Campfield, M.D.
• Laurie Gwen Campfield, D.O.
• Sydney Michelle Cantwell, PA-C
• Ziqiang Cao, M.D.

• Registered Dietitian in Scranton, PA
• Providers in Scranton, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.

Verify at the official NPI Registry.