Individual provider Active NPI

Marsha Polsinelli, MS, RD

  • Registered Dietitian
  • South Lyon, MI
National Provider Identifier
1205151735
Registry record updated Mar 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
24271 Heatherwood Dr
South Lyon, MI 48178-8015
Phone
(248) 667-9455
Fax
(248) 667-9456
NPI assigned
Mar 26, 2010
Last updated
Mar 26, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 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 MI Primary

Addresses

Primary practice location

24271 Heatherwood Dr
South Lyon, MI 48178-8015

Mailing address

24271 Heatherwood Dr
South Lyon, MI 48178-8015
Phone (248) 667-9455

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

NPI Registry JSON

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

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269561600000",
    "number": "1205151735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24271 HEATHERWOOD DR",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481788015",
            "telephone_number": "248-667-9455",
            "fax_number": "248-667-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24271 HEATHERWOOD DR",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481788015",
            "telephone_number": "248-667-9455",
            "fax_number": "248-667-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLSINELLI",
        "first_name": "MARSHA",
        "credential": "MS, RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-26",
        "last_updated": "2010-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lyon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.