Active NPI
Marissa Anne Trout, RD, CD, LDN, MA
- Registered Dietitian
- Terre Haute, IN
National Provider Identifier
1710213871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1008341
- Practice address
- 3901 S 7TH St
Terre Haute, IN 47802-5709 - Phone
- (812) 237-1161
- NPI assigned
- Oct 26, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 164005130 | IL | |
| Registered Dietitian | 133V00000X | 1008341 | IN | Primary |
Addresses
Primary practice location
3901 S 7TH St
Terre Haute, IN 47802-5709
Mailing address
3901 S 7TH St
Terre Haute, IN 47802-5709
Phone (812) 237-1161
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1008341 | IN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sodexo Operations LLC | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282608000000",
"number": "1710213871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 S 7TH ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478025709",
"telephone_number": "812-237-1161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 S 7TH ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478025709",
"telephone_number": "812-237-1161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROUT",
"first_name": "MARISSA",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "RD, CD, LDN, MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-26",
"last_updated": "2010-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164005130",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IN",
"license": "1008341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.