Active NPI
Marlene Dixie Kramer, RD
- Registered Dietitian
- Inverness, FL
National Provider Identifier
1467601179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 436647
- Practice address
- 214 S Pine Ave
Inverness, FL 34452-4838 - Phone
- (407) 467-8463
- NPI assigned
- Sep 17, 2008
- Last updated
- Jun 3, 2014
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | ND77 | FL | |
| Registered Dietitian | 133V00000X | 436647 | FL | Primary |
Addresses
Primary practice location
214 S Pine Ave
Inverness, FL 34452-4838
Mailing address
214 S Pine Ave
Inverness, FL 34452-4838
Phone (407) 467-8463
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100408000547 | FL | Practitioner - Registered Dietitian Or Nutrition Professional | 5991831414 | Practice locations: Inverness, FL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 436647 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles a Prentice MD PA | Past | Accepting new patients | |
| Suncoast Gastroenterology PA | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Inverness, FL
- NPI 1013293109
-
- Gastroenterology Physician
- Inverness, FL
- NPI 1972820298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401753600000",
"number": "1467601179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 S PINE AVE",
"city": "INVERNESS",
"state": "FL",
"postal_code": "344524838",
"telephone_number": "407-467-8463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 S PINE AVE",
"city": "INVERNESS",
"state": "FL",
"postal_code": "344524838",
"telephone_number": "407-467-8463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAMER",
"first_name": "MARLENE",
"middle_name": "DIXIE",
"name_prefix": "Ms.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-17",
"last_updated": "2014-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND77",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "436647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Inverness, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.