Individual provider Active NPI

Laura Marchese, R.D.N., L.D.

  • Registered Dietitian
  • Peachtree City, GA
National Provider Identifier
1689127599
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD004705 Issued in GA
Practice address
14 Eastbrook BND
Suite 212
Peachtree City, GA 30269-1530
Phone
(724) 989-0119
NPI assigned
Jul 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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 LD004705 GA Primary

Addresses

Primary practice location

14 Eastbrook BND
Suite 212
Peachtree City, GA 30269-1530

Mailing address

14 Eastbrook BND
Suite 212
Peachtree City, GA 30269-1530
Phone (724) 989-0119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161007001034 GA Practitioner - Registered Dietitian Or Nutrition Professional 1557659513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Life Chiropractic College, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14 Eastbrook BND
Suite 212
Peachtree City, GA 30269-1521
Phone (724) 989-0119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LD004705GAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nourishing Nutrition Consulting LLC Dietitian, Registered CurrentSince Sep 21, 2016 Accepting new patients

Locations

14 Eastbrook Bnd
Ste 212
Peachtree City, GA 30269
Phone (724) 989-0119

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.

NPI Registry JSON

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1689127599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 EASTBROOK BND",
            "address_2": "SUITE 212",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691530",
            "telephone_number": "724-989-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 EASTBROOK BND",
            "address_2": "SUITE 212",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691530",
            "telephone_number": "724-989-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHESE",
        "first_name": "LAURA",
        "name_prefix": "Mrs.",
        "credential": "R.D.N., L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD004705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.