Active NPI
Marie Therese Bridges, MS, RDN, CEDS
- Registered Dietitian
- Baltimore, MD
National Provider Identifier
1508332933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 008910
- Practice address
- 1400 W Lombard St
PMB 1218
Baltimore, MD 21223 - Phone
- (646) 484-9849
- NPI assigned
- Oct 24, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DX6047 | MD | |
| Registered Dietitian | 133V00000X | 5289 | AL | |
| Registered Dietitian | 133V00000X | 008910 | NY | Primary |
Addresses
Primary practice location
1400 W Lombard St
PMB 1218
Baltimore, MD 21223
Mailing address
1400 W Lombard St
PMB 1218
Baltimore, MD 21223
Phone (646) 484-9849
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5289 | AL | MD | Registered Dietitian |
| DX6047 | MD | MD | Registered Dietitian |
| 008910 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Nutrition LLC | Dietitian, Registered | Past | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693353600000",
"number": "1508332933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 W LOMBARD ST",
"address_2": "PMB 1218",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21223",
"telephone_number": "646-484-9849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 W LOMBARD ST",
"address_2": "PMB 1218",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21223",
"telephone_number": "646-484-9849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIDGES",
"first_name": "MARIE",
"middle_name": "THERESE",
"credential": "MS, RDN, CEDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-24",
"last_updated": "2023-08-30",
"certification_date": "2023-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MD",
"license": "DX6047",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AL",
"license": "5289",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "008910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.