NPIMap

Organization Active NPI

Dietitians Direct LLC

  • Registered Dietitian
  • Towson, MD
National Provider Identifier
1194179416
Registry record updated May 15, 2020
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Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1031418 Issued in GA
Legal business name
DIETITIANS DIRECT LLC
Practice address
212 Washington Ave
Suite 515
Towson, MD 21204
Phone
(770) 335-7335
NPI assigned
Apr 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Authorized official

Name
Denise Marshall, REGISTERED DIETITIAN
Title
Owner
Phone
(770) 335-7335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 1031418 GA Primary

Addresses

Primary practice location

212 Washington Ave
Suite 515
Towson, MD 21204

Mailing address

212 Washington Ave
Suite 515
Towson, MD 21204
Phone (770) 335-7335

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1194179416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 WASHINGTON AVE",
            "address_2": "SUITE 515",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "21204",
            "telephone_number": "770-335-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 WASHINGTON AVE",
            "address_2": "SUITE 515",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "21204",
            "telephone_number": "770-335-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIETITIANS DIRECT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-22",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-335-7335",
        "authorized_official_credential": "REGISTERED DIETITIAN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "1031418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; 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.