Individual provider Active NPI

Margery Reese Pepper, PHD, RD

  • Registered Dietitian
  • Baltimore, MD
National Provider Identifier
1629284948
Registry record updated Jul 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DX3149 Issued in MD
Practice address
1613 S Hanover St
Baltimore, MD 21230-4420
Phone
(512) 799-2229
Fax
(410) 706-5090
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT07730 TX
Pediatric Nutrition Registered Dietitian 133VN1004X DT07730 TX
Registered Dietitian 133V00000X DX3149 MD Primary

Addresses

Primary practice location

1613 S Hanover St
Baltimore, MD 21230-4420

Mailing address

1613 S Hanover St
Baltimore, MD 21230-4420
Phone (512) 799-2229

Other identifiers 1

IdentifierTypeStateIssuer
180921201MedicaidTX

Other names 1

  • Ms. M. Reese Pepper Professional name

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
DX3149MDMDRegistered Dietitian
DT07730TXMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309824000000",
    "number": "1629284948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 S HANOVER ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212304420",
            "telephone_number": "512-799-2229",
            "fax_number": "410-706-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 S HANOVER ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212304420",
            "telephone_number": "512-799-2229",
            "fax_number": "410-706-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPPER",
        "first_name": "MARGERY",
        "middle_name": "REESE",
        "name_prefix": "Dr.",
        "credential": "PHD, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2011-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT07730",
            "primary": false
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "TX",
            "license": "DT07730",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX3149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180921201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M.",
            "last_name": "PEPPER",
            "middle_name": "REESE",
            "prefix": "MS.",
            "credential": "PHD, RD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; 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.