Individual provider Active NPI

Nicholas Smith Marinakis, MS, RDN, LD

  • Registered Dietitian
  • Reading, MA
National Provider Identifier
1609296110
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
5370 Issued in MA
Practice address
36 Woburn St Ste 13
Reading, MA 01867-2973
Phone
(978) 276-4770
NPI assigned
Apr 23, 2014
Last updated
Sep 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
5370MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nicholas Marinakis, Ms, RDN, LDN Dietitian, Registered CurrentSince Feb 6, 2022 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.

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.

Verify at the official NPI Registry.