Active NPI
Marie Ries
- Registered Dietitian
- Ypsilanti, MI
National Provider Identifier
1609521400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1063341
- Practice address
- 2940 Ellsworth Rd
Ypsilanti, MI 48197-7406 - Phone
- (734) 572-5777
- NPI assigned
- Feb 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1063341 | Primary |
Addresses
Primary practice location
2940 Ellsworth Rd
Ypsilanti, MI 48197-7406
Mailing address
11908 Jordan Rd
Saline, MI 48176-9691
Phone (734) 320-3302
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063341 | Other | CDR |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645401600000",
"number": "1609521400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11908 JORDAN RD",
"city": "SALINE",
"state": "MI",
"postal_code": "481769691",
"telephone_number": "734-320-3302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2940 ELLSWORTH RD",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481977406",
"telephone_number": "734-572-5777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIES",
"first_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-21",
"last_updated": "2022-02-21",
"certification_date": "2022-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "1063341",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDR",
"identifier": "1063341",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.