Active NPI
James Marchio, RD
- Obesity and Weight Management Nutrition Registered Dietitian
- St Augustine, FL
National Provider Identifier
1629701446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity and Weight Management Nutrition Registered Dietitian
- License
- 12127
- Practice address
- 174 Parkside Dr
St Augustine, FL 32095-6814 - Phone
- (904) 888-6332
- NPI assigned
- Jul 8, 2022
- Last updated
- Jul 8, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | 12127 | FL | Primary |
Addresses
Primary practice location
174 Parkside Dr
St Augustine, FL 32095-6814
Mailing address
174 Parkside Dr
St Augustine, FL 32095-6814
Phone (904) 888-6332
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12127 | FL | MD | Vascular Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657238400000",
"number": "1629701446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "174 PARKSIDE DR",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320956814",
"telephone_number": "904-888-6332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "174 PARKSIDE DR",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320956814",
"telephone_number": "904-888-6332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCHIO",
"first_name": "JAMES",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-07-08",
"last_updated": "2022-07-08",
"certification_date": "2022-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1201X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": "FL",
"license": "12127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.