Individual provider Active NPI

Loica Christina Marc, R.D.

  • Registered Dietitian
  • Marietta, GA
National Provider Identifier
1598149783
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD004458 Issued in GA
Practice address
2470 Windy Hill Rd
Suite 300 PMB 5202
Marietta, GA 30067-1739
Phone
(770) 861-9176
NPI assigned
Jul 17, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD004458 GA Primary

Addresses

Primary practice location

2470 Windy Hill Rd
Suite 300 PMB 5202
Marietta, GA 30067-1739

Mailing address

2470 Windy Hill Rd
Suite 300 PMB 5202
Marietta, GA 30067-1739
Phone (770) 861-9176

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

State licenses

LicenseStateTypeSpecialty
LD004458GAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1598149783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 WINDY HILL RD",
            "address_2": "SUITE 300 PMB 5202",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300671739",
            "telephone_number": "770-861-9176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 WINDY HILL RD",
            "address_2": "SUITE 300 PMB 5202",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300671739",
            "telephone_number": "770-861-9176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARC",
        "first_name": "LOICA",
        "middle_name": "CHRISTINA",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-17",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD004458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.