Mary Katherine Mark, MS, MPH, RD, LD/N

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

8875 Issued in FL

Practice address

1680 Michigan Ave Ste 700
Miami Beach, FL 33139-2551

Phone

(305) 469-1416

NPI assigned

Jun 19, 2019

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

Other names 1

• Katie Mark Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1356901433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 MICHIGAN AVE STE 700",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331392551",
            "telephone_number": "305-469-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 MICHIGAN AVE STE 700",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331392551",
            "telephone_number": "305-469-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARK",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "credential": "MS, MPH, RD, LD/N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "8875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Katie@onyourmarknutrition.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1680 Michigan Ave Ste 700",
            "city": "Miami Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331392551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "MARK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marcy Alvarez, DO. PA
• Mariela Padro MD, PLLC
• Flor Marin, M.D.
• Patricia Marinuchi, SLP
• Katherine Mark
• Christina Markevich, RN
• Chloe Alexandra Markowicz
• Sheyla Criss Marquez
• Gretell Marrero Rojas
• Ricardo Juan Marrero, MD

• All providers in Miami Beach, FL
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.