Active NPI
Elise Marrs, RDN
- Registered Dietitian
- Tucson, AZ
National Provider Identifier
1649040601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86115747
- Practice address
- 1500 N Wilmot Rd Unit C-280
Tucson, AZ 85712-4416 - Phone
- (520) 836-5725
- Fax
- (480) 351-8384
- NPI assigned
- Jan 2, 2024
- 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 | 86115747 | Primary |
Addresses
Primary practice location
1500 N Wilmot Rd Unit C-280
Tucson, AZ 85712-4416
Mailing address
1661 E Camelback Rd Ste 200
Phoenix, AZ 85016-3913
Phone (623) 231-3686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240416001627 | AZ | Practitioner - Registered Dietitian Or Nutrition Professional | 5496194011 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Tan Perinatal | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Medical Specialty Clinic/Center
- Gilbert, AZ
- NPI 1538603279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708473600000",
"number": "1649040601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1661 E CAMELBACK RD STE 200",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850163913",
"telephone_number": "623-231-3686",
"fax_number": "480-351-8384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 N WILMOT RD UNIT C-280",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857124416",
"telephone_number": "520-836-5725",
"fax_number": "480-351-8384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRS",
"first_name": "ELISE",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-02",
"last_updated": "2024-02-21",
"certification_date": "2024-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86115747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.