Keleesha Ferril-Marley, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND13075 Issued in FL

Practice address

1015 Mildred Dixon Way
Winter Garden, FL 34787-2940

Phone

(301) 254-6899

NPI assigned

Jun 24, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Howard University College of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Vital Nutrition Dietitian

  • Registered Dietitian
  • Ocala, FL
  • NPI 1477330603
  Medicare reassignment
• Marley Nutrition and Wellness, LLC.

  • Registered Dietitian
  • Apopka, FL
  • NPI 1225959232

  Dietitian, Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1285478347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 MILDRED DIXON WAY",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347872940",
            "telephone_number": "301-254-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 MILDRED DIXON WAY",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347872940",
            "telephone_number": "301-254-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRIL-MARLEY",
        "first_name": "KELEESHA",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND13075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Fernandez
• Samantha Fernandez, LMHC
• Guilherme Ferrari Alves Ruggeri, BEHAVIOR TECHNICIAN
• Ludmylla Ferreira de Souza
• Tulio Jose Ferrer Saavedra
• Stephanie Marie Figueroa Cruz
• Yirianis M Figuerola Goyanes
• Sandra Marie Fink, DVM
• Ericka Finley, LCSW
• Loriana Fiorino

• Registered Dietitian in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.