Tammy Brooks-Marino, RDN, LDN
Individual provider Active NPI Registered Dietitian · Osprey, FL
NPI 1508634635 · NPPES record last updated Dec 18, 2023
Key facts
- NPI
- 1508634635
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- ND11471 (FL)
- Practice address
- 721 N Macewen Dr
Osprey, FL 34229-3202 - Phone
- (718) 354-7257
- NPI assigned
- Dec 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1997
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
317 6TH Ave
Suite 400
Des Moines, IA 50309-4037
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251128000657 | FL | Practitioner - Registered Dietitian Or Nutrition Professional | 4284126178 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND11471 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Openloop Healthcare Partners PC | Dietitian, Registered | Current |
Accepting new patients |
| Cloud Health Medical Group of New Jersey, P.C. | Past | Accepting new patients | |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Everfit Inc | Dietitian, Registered | Past | Accepting new patients |
| Cloud Health Medical Group of California, P.C. | Past | Accepting new patients | |
| Fay Nutrition | Dietitian, Registered | Past |
Accepting new patients |
| Cloud Health Medical Group, P.a. | Past | Accepting new patients | |
| Openloop Healthcare Partners Wisconsin, SC | Dietitian, Registered | Past | Accepting new patients |
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
| Henry Ford Health Rochester Hospital | Past | Accepting new patients |
Locations
72650 Fred Waring Dr
Ste 106
Palm Desert, CA 92260
Phone (760) 230-9990
615 W Johnson Ave
Ste 202
Cheshire, CT 06410
Phone (203) 695-7057
8270 Woodland Center Blvd
#110112
Tampa, FL 33614
Phone (804) 200-7348
8270 Woodland Center Blvd
Tampa, FL 33614
Phone (305) 449-9219
317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097
1 Westbrook Corporate Ctr
Ste 300
Westchester, IL 60154
Phone (630) 709-1501
735 Shelby St
Indianapolis, IN 46203
Phone (317) 647-6507
75 S Broadway
Fl 4
White Plains, NY 10601
Phone (845) 415-7105
11815 Fountain Way
Ste 300
Newport News, VA 23606
Phone (757) 505-7574
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | ND11471 | FL | Yes |
Addresses
Primary practice location
721 N Macewen Dr
Osprey, FL 34229-3202
Mailing address
721 N Macewen Dr
Osprey, FL 34229-3202
Phone (718) 354-7257
Other providers in Osprey, FL
- Patrick Aaron Begley
- William Bruce Benner
- Biscayne Optometry, Inc
- Edward L Blackman
- Lexi Kathryn Bornes
- Soheir Bshot
- Kara Lynn Bumgarner
- Camille L Bussotti
- Buzzella Chiropractic & Rehabilitation PA
- Camille Bussotti PH.D.,LLC
All providers in Osprey, FL · Registered Dietitian in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.