Active NPI
Lisa Maroun, R.D.
- Registered Dietitian
- Novi, MI
National Provider Identifier
1518272368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 39555 W 10 Mile Rd
Suite 302
Novi, MI 48375-2950 - Phone
- (248) 426-7200
- Fax
- (248) 426-7335
- NPI assigned
- Aug 17, 2010
- Last updated
- Aug 17, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | MI | Primary |
Addresses
Primary practice location
39555 W 10 Mile Rd
Suite 302
Novi, MI 48375-2950
Mailing address
39555 W 10 Mile Rd
Suite 302
Novi, MI 48375-2950
Phone (248) 426-7200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 954207 | Other | MI | CDR |
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": "1282003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282003200000",
"number": "1518272368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39555 W 10 MILE RD",
"address_2": "SUITE 302",
"city": "NOVI",
"state": "MI",
"postal_code": "483752950",
"telephone_number": "248-426-7200",
"fax_number": "248-426-7335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39555 W 10 MILE RD",
"address_2": "SUITE 302",
"city": "NOVI",
"state": "MI",
"postal_code": "483752950",
"telephone_number": "248-426-7200",
"fax_number": "248-426-7335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAROUN",
"first_name": "LISA",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-17",
"last_updated": "2010-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDR",
"identifier": "954207",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.