Individual provider Active NPI

Laura M Marinaro, RD. ATC

  • Sports Dietetics Nutrition Registered Dietitian
  • Salisbury, MD
National Provider Identifier
1215103270
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Dietetics Nutrition Registered DietitianTaxonomy code 133VN1501X
License
DX3854 Issued in MD
Practice address
1101 Camden Ave
Salisbury, MD 21801-6837
Phone
(443) 838-9223
NPI assigned
Apr 30, 2008
Last updated
Apr 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Dietetics Nutrition Registered Dietitian 133VN1501X DX3854 MD Primary
Athletic Trainer 2255A2300X J3-0000318 DE
Athletic Trainer 2255A2300X A0000083 MD

Addresses

Primary practice location

1101 Camden Ave
Salisbury, MD 21801-6837

Mailing address

1101 Camden Ave
Salisbury, MD 21801-6837
Phone (443) 838-9223

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

LicenseStateTypeSpecialty
DX3854MDMDSports Dietetics Nutrition Registered Dietitian
J3-0000318DEMDAthletic Trainer
A0000083MDMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1215103270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 CAMDEN AVE",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218016837",
            "telephone_number": "443-838-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 CAMDEN AVE",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218016837",
            "telephone_number": "443-838-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINARO",
        "first_name": "LAURA",
        "middle_name": "M",
        "credential": "RD. ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-30",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1501X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": "MD",
            "license": "DX3854",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "DE",
            "license": "J3-0000318",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MD",
            "license": "A0000083",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.