Individual provider Active NPI

Marsha E McCleskey, RD/LD, MS, CDE

  • Metabolic Nutrition Registered Dietitian
  • Bedford, TX
National Provider Identifier
1518987767
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X
License
DT00727 Issued in TX
Practice address
3308 Wendover CT
Bedford, TX 76021
Phone
(817) 545-7855
NPI assigned
Jul 20, 2006
Last updated
May 19, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Metabolic Nutrition Registered Dietitian 133VN1006X DT00727 TX Primary

Addresses

Primary practice location

3308 Wendover CT
Bedford, TX 76021

Mailing address

3308 Wendover CT
Bedford, TX 76021
Phone (817) 545-7855

Other names 1

  • Marsha Ann McCleskey Other name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DT00727TXMDMetabolic Nutrition Registered Dietitian

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274227200000",
    "number": "1518987767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 WENDOVER CT",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "76021",
            "telephone_number": "817-545-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3308 WENDOVER CT",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "76021",
            "telephone_number": "817-545-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLESKEY",
        "first_name": "MARSHA",
        "middle_name": "E",
        "credential": "RD/LD, MS, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2010-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "TX",
            "license": "DT00727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARSHA",
            "last_name": "MCCLESKEY",
            "middle_name": "ANN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.

Verify at the official NPI Registry.