Individual provider Active NPI

Joan A. Marn, M.S., R.D., L.D./N.

  • Registered Dietitian
  • Miami, FL
National Provider Identifier
1184945974
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
0000230 Issued in FL
Practice address
10280 SW 124TH St
Miami, FL 33176-4845
Phone
(305) 256-4242
Fax
(305) 256-4476
NPI assigned
Jun 16, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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 0000230 FL Primary

Addresses

Primary practice location

10280 SW 124TH St
Miami, FL 33176-4845

Mailing address

10280 SW 124TH St
Miami, FL 33176-4845
Phone (305) 256-4242

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

LicenseStateTypeSpecialty
0000230FLMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276646400000",
    "number": "1184945974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10280 SW 124TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331764845",
            "telephone_number": "305-256-4242",
            "fax_number": "305-256-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10280 SW 124TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331764845",
            "telephone_number": "305-256-4242",
            "fax_number": "305-256-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARN",
        "first_name": "JOAN",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "M.S., R.D., L.D./N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-16",
        "last_updated": "2010-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "0000230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.