Active NPI
Mara Keating, RDN, LD/N
- Registered Dietitian
- Orlando, FL
National Provider Identifier
1205200706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND 7390
- Practice address
- 13800 Veterans Way
Orlando, FL 32827-7401 - Phone
- (407) 631-1039
- NPI assigned
- Nov 20, 2015
- 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 | ND 7390 | FL | Primary |
Addresses
Primary practice location
13800 Veterans Way
Orlando, FL 32827-7401
Mailing address
13800 Veterans Way
Clinic 1a
Orlando, FL 32827-7401
Phone (407) 631-1039
Other practice location 1
1000 Waterman Way
Tavares, FL 32778-5266
Phone (352) 253-3379
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND 7390 | FL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547164800000",
"number": "1205200706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13800 VETERANS WAY",
"address_2": "CLINIC 1A",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277401",
"telephone_number": "407-631-1039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13800 VETERANS WAY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277401",
"telephone_number": "407-631-1039"
}
],
"practiceLocations": [
{
"address_1": "1000 Waterman Way",
"address_purpose": "LOCATION",
"city": "Tavares",
"state": "FL",
"postal_code": "327785266",
"country_code": "US",
"telephone_number": "352-253-3379",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEATING",
"first_name": "MARA",
"credential": "RDN, LD/N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-20",
"last_updated": "2019-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND 7390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.