Active NPI
Marylee Kathleen Mull
- Registered Dietitian
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3019
- Practice address
- 3733 39TH Ave W
Bradenton, FL 34205-2345 - Phone
- (941) 773-0318
- NPI assigned
- Mar 13, 2023
- Last updated
- Mar 13, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 3019 | FL | Primary |
Addresses
Primary practice location
3733 39TH Ave W
Bradenton, FL 34205-2345
Mailing address
3733 39TH Ave W
Bradenton, FL 34205-2345
Phone (941) 773-0318
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2820 NE 214TH St
Suite 801
Aventura, FL 33180-1269
Phone (646) 390-5066
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3019 | FL | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition in Motion | Dietitian, Registered | Current | Accepting new patients |
| BSH Health PA | Dietitian, Registered | Current | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Locations
2820 NE 214th St
Ste 801
Miami, FL 33180
Phone (305) 204-9877
150 S Pine Island Rd
Ste 300
Plantation, FL 33324
Phone (954) 530-2803
80 Palomino Ln
Ste 101
Bedford, NH 03110
Phone (603) 315-7936
19 W 24th St
Fl 4
New York, NY 10010
Phone (646) 844-2332
Organizations & group practices 5
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": "1678665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678665600000",
"number": "1619678141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3733 39TH AVE W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342052345",
"telephone_number": "941-773-0318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3733 39TH AVE W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342052345",
"telephone_number": "941-773-0318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULL",
"first_name": "MARYLEE",
"middle_name": "KATHLEEN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-13",
"last_updated": "2023-03-13",
"certification_date": "2023-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "3019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.