Individual provider Active NPI

Christina Marescia, R.D.

  • Registered Dietitian
  • Bedford, NH
National Provider Identifier
1376971465
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI1171 Issued in ME
Practice address
80 Palomino LN
Suite 101
Bedford, NH 03110-6447
Phone
(603) 315-7936
Fax
(888) 719-5991
NPI assigned
Oct 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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 DI1171 ME Primary

Addresses

Primary practice location

80 Palomino LN
Suite 101
Bedford, NH 03110-6447

Mailing address

74 Cumberland Ave
Apt. 1
Portland, ME 04101-2646
Phone (603) 548-2239

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
DI1171MEMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383004800000",
    "number": "1376971465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 CUMBERLAND AVE",
            "address_2": "APT. 1",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012646",
            "telephone_number": "603-548-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 PALOMINO LN",
            "address_2": "SUITE 101",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106447",
            "telephone_number": "603-315-7936",
            "fax_number": "888-719-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARESCIA",
        "first_name": "CHRISTINA",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ME",
            "license": "DI1171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.