Active NPI
Margery Reese Pepper, PHD, RD
- Registered Dietitian
- Baltimore, MD
National Provider Identifier
1629284948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DX3149
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180921201 | Medicaid | TX |
Other names 1
- Ms. M. Reese Pepper
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
| License | State | Type | Specialty |
|---|---|---|---|
| DX3149 | MD | MD | Registered Dietitian |
| DT07730 | TX | MD | Registered 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.