Organization Active NPI

Vassar-Sherman LLC

  • Registered Dietitian
  • Marshall, TX
National Provider Identifier
1275958332
Registry record updated Oct 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT03384 Issued in TX
Legal business name
VASSAR-SHERMAN LLC
Practice address
110 S Bolivar St Ste 102
Marshall, TX 75670-4184
Phone
(903) 472-4975
Fax
(903) 472-4977
NPI assigned
Feb 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2014

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

Authorized official

Name
Mary Lynn Vassar, RD
Title
Owner
Phone
(903) 472-4975

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X DT03384 TX Primary

Addresses

Primary practice location

110 S Bolivar St Ste 102
Marshall, TX 75670-4184

Mailing address

110 S Bolivar St Ste 102
Marshall, TX 75670-4184
Phone (903) 472-4975

National Provider Directory

National Provider Directory

Locations

110 S Bolivar St
Ste 102
Marshall, TX 75670
Phone (903) 472-4975

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412294400000",
    "number": "1275958332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S BOLIVAR ST STE 102",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756704184",
            "telephone_number": "903-472-4975",
            "fax_number": "903-472-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S BOLIVAR ST STE 102",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756704184",
            "telephone_number": "903-472-4975",
            "fax_number": "903-472-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASSAR-SHERMAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-26",
        "last_updated": "2014-10-03",
        "status": "A",
        "authorized_official_last_name": "VASSAR",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-472-4975",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT03384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; 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.