Active NPI
Marleigh Ruth Selby
- Registered Dietitian
- Birmingham, AL
National Provider Identifier
1679301717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3282
- Practice address
- 703 10TH Ave S
Birmingham, AL 35205-4529 - Phone
- (864) 430-5444
- NPI assigned
- Jul 22, 2024
- Last updated
- Jul 22, 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 | 3282 | AL | Primary |
Addresses
Primary practice location
703 10TH Ave S
Birmingham, AL 35205-4529
Mailing address
703 10TH Ave S
Birmingham, AL 35205-4529
Phone (864) 430-5444
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 |
|---|---|---|---|
| 3282 | AL | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1679301717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 10TH AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352054529",
"telephone_number": "864-430-5444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 10TH AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352054529",
"telephone_number": "864-430-5444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELBY",
"first_name": "MARLEIGH",
"middle_name": "RUTH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-22",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AL",
"license": "3282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.