Active NPI
Nicholas Smith Marinakis, MS, RDN, LD
- Registered Dietitian
- Reading, MA
National Provider Identifier
1609296110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 5370
- Practice address
- 36 Woburn St Ste 13
Reading, MA 01867-2973 - Phone
- (978) 276-4770
- NPI assigned
- Apr 23, 2014
- Last updated
- Sep 14, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Registered Dietitian | 133V00000X | 5370 | MA | Primary |
Addresses
Primary practice location
36 Woburn St Ste 13
Reading, MA 01867-2973
Mailing address
36 Woburn St Ste 13
Reading, MA 01867-2973
Phone (978) 276-4770
Other practice location 1
33 Commercial St
Gloucester, MA 01930-5040
Phone (781) 439-5148
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5370 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nicholas Marinakis, Ms, RDN, LDN | Dietitian, Registered | Current | Accepting new patients |
Locations
36 Woburn St
Ste 13
Reading, MA 01867
Phone (978) 276-4770
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Registered Dietitian
- Reading, MA
- NPI 1649923210
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1609296110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 WOBURN ST STE 13",
"city": "READING",
"state": "MA",
"postal_code": "018672973",
"telephone_number": "978-276-4770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 WOBURN ST STE 13",
"city": "READING",
"state": "MA",
"postal_code": "018672973",
"telephone_number": "978-276-4770"
}
],
"practiceLocations": [
{
"address_1": "33 Commercial St",
"address_purpose": "LOCATION",
"city": "Gloucester",
"state": "MA",
"postal_code": "019305040",
"country_code": "US",
"telephone_number": "781-439-5148",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARINAKIS",
"first_name": "NICHOLAS",
"middle_name": "SMITH",
"credential": "MS, RDN, LD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-23",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "5370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reading, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.