Active NPI
Mary Manning, RDN
- Registered Dietitian
- San Anselmo, CA
National Provider Identifier
1407739873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 5 Carlson Ave
San Anselmo, CA 94960-1306 - Phone
- (415) 342-8229
- NPI assigned
- Jul 31, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | CA | ||
| Registered Dietitian | 133V00000X | CA | Primary |
Addresses
Primary practice location
5 Carlson Ave
San Anselmo, CA 94960-1306
Mailing address
5 Carlson Ave
San Anselmo, CA 94960-1306
Phone (415) 342-8229
Other names 1
- Cami Manning
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Manning RDN PC | Dietitian, Registered | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756771200000",
"number": "1407739873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 CARLSON AVE",
"city": "SAN ANSELMO",
"state": "CA",
"postal_code": "949601306",
"telephone_number": "415-342-8229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 CARLSON AVE",
"city": "SAN ANSELMO",
"state": "CA",
"postal_code": "949601306",
"telephone_number": "415-342-8229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNING",
"first_name": "MARY",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-31",
"last_updated": "2025-09-02",
"certification_date": "2025-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAMI",
"last_name": "MANNING",
"credential": "RD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in San Anselmo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.