Individual provider Active NPI

Marinna Lotardo, RD

  • Registered Dietitian
  • Dix Hills, NY
National Provider Identifier
1659022853
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86151793 Issued in NY
Practice address
2 Mapleridge CT
Dix Hills, NY 11746-5400
Phone
(631) 974-3178
NPI assigned
Jan 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86151793 NY Primary

Addresses

Primary practice location

2 Mapleridge CT
Dix Hills, NY 11746-5400

Mailing address

2 Mapleridge CT
Dix Hills, NY 11746-5400
Phone (631) 974-3178

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

LicenseStateTypeSpecialty
86151793NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Marinna Nutrition Inc. Dietitian, Registered CurrentSince Feb 8, 2023 Accepting new patients
Teladoc Health Medical Group, P.a. Dietitian, Registered Current Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: marinnalotardo@tdh.allscriptsdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1659022853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MAPLERIDGE CT",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465400",
            "telephone_number": "631-974-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MAPLERIDGE CT",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465400",
            "telephone_number": "631-974-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTARDO",
        "first_name": "MARINNA",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86151793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dix Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.

Verify at the official NPI Registry.