Active NPI
Lisa Marie Marmolejo, RDN
- Registered Dietitian
- Amesbury, MA
National Provider Identifier
1548051394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LDN7170
- Practice address
- 20 Mechanics Row
Amesbury, MA 01913-3302 - Phone
- (978) 846-2901
- NPI assigned
- May 13, 2025
- 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 | LDN7170 | MA | Primary |
Addresses
Primary practice location
20 Mechanics Row
Amesbury, MA 01913-3302
Mailing address
12 Carriage CT
Merrimac, MA 01860-2026
Phone (701) 779-5418
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LDN7170 | MA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747612800000",
"number": "1548051394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 CARRIAGE CT",
"city": "MERRIMAC",
"state": "MA",
"postal_code": "018602026",
"telephone_number": "701-779-5418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 MECHANICS ROW",
"city": "AMESBURY",
"state": "MA",
"postal_code": "019133302",
"telephone_number": "978-846-2901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARMOLEJO",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-13",
"last_updated": "2025-05-19",
"certification_date": "2025-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "LDN7170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amesbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.