Individual provider Active NPI

Nina Katherine La Marca, RD, LD

  • Registered Dietitian
  • Ashtabula, OH
National Provider Identifier
1558033670
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
718631
Practice address
1012 Timonere Dr
Ashtabula, OH 44004-3600
Phone
(740) 500-2717
NPI assigned
Sep 28, 2021
Reactivated
May 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD08589 OH
Registered Dietitian 133V00000X DN008891 PA
Oncology Nutrition Registered Dietitian 133VN1301X 37002885A IN
Registered Dietitian 133V00000X 2898 AR
Registered Dietitian 133V00000X 718631 Primary

Addresses

Primary practice location

1012 Timonere Dr
Ashtabula, OH 44004-3600

Mailing address

1012 Timonere Dr
Ashtabula, OH 44004-3600

Other names 1

  • Nina Katherine La Marca 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2898ARMDRegistered Dietitian
LD08589OHMDRegistered Dietitian
DN008891PAMDRegistered Dietitian
37002885AINMDOncology Nutrition Registered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1558033670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 TIMONERE DR",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440043600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 TIMONERE DR",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440043600",
            "telephone_number": "740-500-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA MARCA",
        "first_name": "NINA",
        "middle_name": "KATHERINE",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "deactivation_date": "2022-01-21",
        "reactivation_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD08589",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN008891",
            "primary": false
        },
        {
            "code": "133VN1301X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Oncology",
            "state": "IN",
            "license": "37002885A",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AR",
            "license": "2898",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "718631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NINA",
            "last_name": "LA MARCA",
            "middle_name": "KATHERINE",
            "credential": "RD, LD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ashtabula, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.