Individual provider Active NPI

Cheryl Marsland, DCN, RDN, LDN

  • Registered Dietitian
  • Patrick Space Force Base, FL
National Provider Identifier
1396016879
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
02999ND Issued in FL
Practice address
1381 S. Patrick Driive
Patrick Space Force Base, FL 32925
Phone
(321) 494-2660
NPI assigned
Jan 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 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 02999ND FL Primary

Addresses

Primary practice location

1381 S. Patrick Driive
Patrick Space Force Base, FL 32925

Mailing address

1381 S Patrick Dr
Patrick Afb, FL 32925-3606
Phone (321) 494-2660

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
02999NDFLMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1326672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1396016879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381 S PATRICK DR",
            "city": "PATRICK AFB",
            "state": "FL",
            "postal_code": "329253606",
            "telephone_number": "321-494-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1381 S. PATRICK DRIIVE",
            "city": "PATRICK SPACE FORCE BASE",
            "state": "FL",
            "postal_code": "32925",
            "telephone_number": "321-494-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSLAND",
        "first_name": "CHERYL",
        "name_prefix": "Dr.",
        "credential": "DCN, RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-16",
        "last_updated": "2022-02-09",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "02999ND",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patrick Space Force Base, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.