Individual provider Active NPI

Mariel Marie Gampe, MS RD LDN

  • Registered Dietitian
  • Middlesex, NC
National Provider Identifier
1265106595
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L006541 Issued in NC
Practice address
7540 Middlesex Corporate Pkwy
Middlesex, NC 27557-8654
Phone
(252) 235-2298
NPI assigned
Aug 2, 2021
Last updated
Oct 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86119862 MI
Registered Dietitian 133V00000X L006541 NC Primary

Addresses

Primary practice location

7540 Middlesex Corporate Pkwy
Middlesex, NC 27557-8654

Mailing address

1122 Apple Blossom CT
Raleigh, NC 27606-3644
Phone (919) 389-9770

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mgampe744797@direct.UNC.nchie.net Direct

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
86119862MIMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Radiologists Inc PastSince Aug 8, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mgampe744797@direct.unc.nchie.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1265106595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 APPLE BLOSSOM CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276063644",
            "telephone_number": "919-389-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7540 MIDDLESEX CORPORATE PKWY",
            "city": "MIDDLESEX",
            "state": "NC",
            "postal_code": "275578654",
            "telephone_number": "252-235-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMPE",
        "first_name": "MARIEL",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MS RD LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MI",
            "license": "86119862",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L006541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgampe744797@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "7540 Middlesex Corporate Pkwy",
            "city": "Middlesex",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275578654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middlesex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.