Active NPI
Marisa Faith Carver, RDN
- Registered Dietitian
- Chicago, IL
National Provider Identifier
1255249264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164.024917
- Practice address
- 2109 N Bissell St
Chicago, IL 60614-0495 - Phone
- (919) 995-8631
- NPI assigned
- Aug 31, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | 164.024917 | IL | Primary |
Addresses
Primary practice location
2109 N Bissell St
Chicago, IL 60614-0495
Mailing address
2109 N Bissell St
Chicago, IL 60614-0495
Phone (919) 995-8631
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1255249264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2109 N BISSELL ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606140495",
"telephone_number": "919-995-8631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2109 N BISSELL ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606140495",
"telephone_number": "919-995-8631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARVER",
"first_name": "MARISA",
"middle_name": "FAITH",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-31",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164.024917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.