Marissa Lee Robinson, RD LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

20733 N Broad St
Carlinville, IL 62626-3710

Phone

(217) 854-3141

NPI assigned

May 21, 2018

Last updated

May 21, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1588155188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5911 LUDWIG RD",
            "city": "POCAHONTAS",
            "state": "IL",
            "postal_code": "622751933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20733 N BROAD ST",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626263710",
            "telephone_number": "217-854-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "MARISSA",
        "middle_name": "LEE",
        "credential": "RD LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shona Jo Quick, FNP
• Blake William Randles, D.C.
• Jane B Reichmann, P.T.
• Michaela Nichole Reichmann, RDH, PHRDH
• Jennifer Lynn Richards, RN
• Rodney L Bailey, DMD, PC
• Julia Rebecca Roemer, RDH PHDH
• Karen C Rubrich, OD
• Rebecca Lynn Sanson, RPH
• Teran Schlechte

• Registered Dietitian in Carlinville, IL
• Providers in Carlinville, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; 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.