Active NPI
Mary Jo Atchison, MS,RD,CDE
- Registered Dietitian
- Lansing, MI
National Provider Identifier
1164970497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 00542657
- Practice address
- 2727 S Pennsylvania Ave
Lansing, MI 48910-3488 - Phone
- (517) 975-2198
- Fax
- (517) 975-2200
- NPI assigned
- Sep 15, 2016
- Last updated
- Sep 15, 2016
- 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 | 00542657 | WI | Primary |
Addresses
Primary practice location
2727 S Pennsylvania Ave
Lansing, MI 48910-3488
Mailing address
2727 S Pennsylvania Ave
Lansing, MI 48910-3488
Phone (517) 975-2198
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 |
|---|---|---|---|
| 00542657 | WI | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473897600000",
"number": "1164970497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2727 S PENNSYLVANIA AVE",
"city": "LANSING",
"state": "MI",
"postal_code": "489103488",
"telephone_number": "517-975-2198",
"fax_number": "517-975-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2727 S PENNSYLVANIA AVE",
"city": "LANSING",
"state": "MI",
"postal_code": "489103488",
"telephone_number": "517-975-2198",
"fax_number": "517-975-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATCHISON",
"first_name": "MARY JO",
"credential": "MS,RD,CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-15",
"last_updated": "2016-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "00542657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.