Individual provider Active NPI

Marina Pearsall, MPH, RDN, LDN

  • Registered Dietitian
  • Hillsborough, NC
National Provider Identifier
1306512470
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L005681 Issued in NC
Practice address
128 N Churton St
Hillsborough, NC 27278-2534
Phone
(984) 999-1617
NPI assigned
Aug 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X L005681 NC Primary

Addresses

Primary practice location

128 N Churton St
Hillsborough, NC 27278-2534

Mailing address

128 N Churton St
Hillsborough, NC 27278-2534
Phone (984) 999-1617

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

LicenseStateTypeSpecialty
L005681NCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Rebirth Nutrition Counseling LLC CurrentSince Aug 28, 2022 Accepting new patients

Locations

128 N Churton St
Hillsborough, NC 27278
Phone (919) 769-6410

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1306512470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 N CHURTON ST",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272782534",
            "telephone_number": "984-999-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 N CHURTON ST",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272782534",
            "telephone_number": "984-999-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSALL",
        "first_name": "MARINA",
        "credential": "MPH, RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L005681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.