Active NPI
Marianne Nelson
- Registered Dietitian
- North Adams, MA
National Provider Identifier
1487037420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3818
- Practice address
- 820 State Rd
North Adams, MA 01247-3027 - Phone
- (413) 664-4088
- Fax
- (413) 663-6405
- NPI assigned
- Jul 8, 2015
- Last updated
- Jul 8, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 3818 | MA | Primary |
Addresses
Primary practice location
820 State Rd
North Adams, MA 01247-3027
Mailing address
820 State Rd
North Adams, MA 01247-3027
Phone (413) 664-4088
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436313600000",
"number": "1487037420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 STATE RD",
"city": "NORTH ADAMS",
"state": "MA",
"postal_code": "012473027",
"telephone_number": "413-664-4088",
"fax_number": "413-663-6405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 STATE RD",
"city": "NORTH ADAMS",
"state": "MA",
"postal_code": "012473027",
"telephone_number": "413-664-4088",
"fax_number": "413-663-6405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "MARIANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-08",
"last_updated": "2015-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "3818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Adams, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.