Marcella A Doucet, MS, RD, LDN

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

License

164.008601 Issued in IL

Practice address

11630 S Kedzie Ave
Merrionette Park, IL 60803-6302

Phone

(708) 438-8032

Fax

(708) 389-9088

NPI assigned

Sep 22, 2022

Last updated

Oct 29, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698537600000",
    "number": "1649993916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11630 S KEDZIE AVE",
            "city": "MERRIONETTE PARK",
            "state": "IL",
            "postal_code": "608036302",
            "telephone_number": "708-438-8032",
            "fax_number": "708-389-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11630 S KEDZIE AVE",
            "city": "MERRIONETTE PARK",
            "state": "IL",
            "postal_code": "608036302",
            "telephone_number": "708-438-8032",
            "fax_number": "708-389-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUCET",
        "first_name": "MARCELLA",
        "middle_name": "A",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2023-10-29",
        "certification_date": "2023-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "IN",
            "license": "37003501A",
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "IL",
            "license": "164.008601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marcella.doucet@freseniusmedicalcare.com",
            "affiliation": "N",
            "endpointDescription": "Dialysis Clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11630 S Kedzie Ave",
            "city": "Merrionette Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "608036302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Olivia Clark
• Maria Heriberta Cortes
• Michael W Debre, MD
• Nicholas Decker
• Brianna Danielle Denton, RD, LDN
• Erin Dana Drever, MD
• Lauren Ellis, FNP
• Cassie Enders
• Kurt W Erickson, M.D.
• Alexander Estrada I, B.A

• Renal Nutrition Registered Dietitian in Merrionette Park, IL
• Providers in Merrionette Park, IL by specialty
• Renal Nutrition Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2023; 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.