Active NPI
Carissa Dawn Embry, RD
- Registered Dietitian
- Marquette, MI
National Provider Identifier
1336057512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 282016
- Practice address
- 401 S Lakeshore Blvd Apt 307
Marquette, MI 49855-4670 - Phone
- (502) 741-5951
- NPI assigned
- Aug 31, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 282016 | KY | Primary |
Addresses
Primary practice location
401 S Lakeshore Blvd Apt 307
Marquette, MI 49855-4670
Mailing address
401 S Lakeshore Blvd Apt 307
Marquette, MI 49855-4670
Phone (502) 741-5951
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1336057512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 S LAKESHORE BLVD APT 307",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498554670",
"telephone_number": "502-741-5951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 S LAKESHORE BLVD APT 307",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498554670",
"telephone_number": "502-741-5951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMBRY",
"first_name": "CARISSA",
"middle_name": "DAWN",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-31",
"last_updated": "2026-08-31",
"certification_date": "2026-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KY",
"license": "282016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.