Marie Brady Mott, MS, RDN, CSSD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1421 Issued in AL

Practice address

1295 W Fairfield Dr
Communicatons Health Education & Nutrition Division
Pensacola, FL 32501-1107

Phone

(850) 595-6500

Fax

(850) 595-0062

NPI assigned

Jan 31, 2007

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

Other names 1

• Marie Margaret Brady Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Florida Department of Health

  dba Levy County Health Department

  • Public Health or Welfare Agency
  • Bronson, FL
  • NPI 1154395390
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1730226341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 W FAIRFIELD DR",
            "address_2": "COMMUNICATONS HEALTH EDUCATION & NUTRITION DIVISION",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325011107",
            "telephone_number": "850-595-6500",
            "fax_number": "850-595-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 W FAIRFIELD DR",
            "address_2": "COMMUNICATONS HEALTH EDUCATION & NUTRITION DIVISION",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325011107",
            "telephone_number": "850-595-6500",
            "fax_number": "850-595-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTT",
        "first_name": "MARIE",
        "middle_name": "BRADY",
        "credential": "MS, RDN, CSSD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND4480",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AL",
            "license": "1421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "BRADY",
            "middle_name": "MARGARET",
            "credential": "MS, RDN, CSSD, LDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Registered Dietitian in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; 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.