Marbella Jeanette Moreno-McCarthy, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1074904 Issued in VA

Practice address

8644 Sudley Rd Ste 315
Manassas, VA 20110-4425

Phone

(703) 369-8405

Fax

(703) 369-8533

NPI assigned

Feb 10, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Marbella Jeanette Moreno-Davila Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1326406927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8644 SUDLEY RD STE 315",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104425",
            "telephone_number": "703-369-8405",
            "fax_number": "703-369-8533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "163 Fort Evans Rd NE",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201764420",
            "country_code": "US",
            "telephone_number": "703-443-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORENO-MCCARTHY",
        "first_name": "MARBELLA",
        "middle_name": "JEANETTE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-10",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VA",
            "license": "1074904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARBELLA",
            "last_name": "MORENO-DAVILA",
            "middle_name": "JEANETTE",
            "credential": "RD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Claudine Ann Morcos, M.D.
• Amy K Moreno, MD
• Maria Elena Moreno, M.D
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• Jennifer B Morin
• Morning-Star Home Care

• Registered Dietitian in Manassas, VA
• Providers in Manassas, VA by specialty
• Registered Dietitian in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.