Active NPI
Marilyn Monroe Gammarino, R.D., L.D., C.D.E.
- Metabolic Nutrition Registered Dietitian
- Gaithersburg, MD
National Provider Identifier
1295850550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Metabolic Nutrition Registered Dietitian
- License
- D00131
- Practice address
- 3 Hidden Ponds CT
Gaithersburg, MD 20878-2213 - Phone
- (301) 978-9773
- Fax
- (301) 978-9773
- NPI assigned
- Mar 19, 2007
- 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 |
|---|---|---|---|---|
| Metabolic Nutrition Registered Dietitian | 133VN1006X | D00131 | MD | Primary |
Addresses
Primary practice location
3 Hidden Ponds CT
Gaithersburg, MD 20878-2213
Mailing address
3 Hidden Ponds CT
Gaithersburg, MD 20878-2213
Phone (301) 978-9773
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37167 | Other | MD | UNITED HEALTH CARE # |
| D00131 | Other | MD | PROF DIETETIC LICENSE |
| 5811216-001 | Other | MD | CIGNA HEALTH CARE # |
| DI346 | Other | DC | PROF DIETETIC LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| D00131 | MD | MD | Metabolic Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295850550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 HIDDEN PONDS CT",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208782213",
"telephone_number": "301-978-9773",
"fax_number": "301-978-9773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 HIDDEN PONDS CT",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208782213",
"telephone_number": "301-978-9773",
"fax_number": "301-978-9773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMMARINO",
"first_name": "MARILYN",
"middle_name": "MONROE",
"name_prefix": "Ms.",
"credential": "R.D., L.D., C.D.E.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "MD",
"license": "D00131",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE #",
"identifier": "37167",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROF DIETETIC LICENSE",
"identifier": "D00131",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTH CARE #",
"identifier": "5811216-001",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROF DIETETIC LICENSE",
"identifier": "DI346",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.