Individual provider Active NPI

Marjorie Naples, RD

  • Registered Dietitian
  • Utica, NY
National Provider Identifier
1174036867
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
008489 Issued in NY
Practice address
1450 Champlin Ave
Utica, NY 13502-3662
Phone
(315) 624-9000
NPI assigned
Nov 16, 2017
Last updated
Mar 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 008489 NY Primary

Addresses

Primary practice location

1450 Champlin Ave
Utica, NY 13502-3662

Mailing address

PO Box 602
New Hartford, NY 13413-0602

Other identifiers 1

IdentifierTypeStateIssuer
008489OtherNYNYS RD LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180116001257 NY Practitioner - Registered Dietitian Or Nutrition Professional 6305105594 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney and Hypertension Consultant, PLLC CurrentSince Nov 11, 2017 Accepting new patients
Nysarc Inc. PastSince Dec 11, 2016 Accepting new patients

Locations

2142 Glenwood Shopping Plz
Oneida, NY 13421
Phone (315) 363-1393

1450 Champlin Ave
Utica, NY 13502
Phone (315) 624-8127

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1174036867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134130602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 CHAMPLIN AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135023662",
            "telephone_number": "315-624-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAPLES",
        "first_name": "MARJORIE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-16",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "008489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS RD LICENSE",
            "identifier": "008489",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.