Individual provider Active NPI

Marlene Rose Ohmer, RD, LDN. FSP

  • Gerontological Nutrition Registered Dietitian
  • Erie, PA
National Provider Identifier
1740894757
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontological Nutrition Registered DietitianTaxonomy code 133VN1101X
License
833205 Issued in PA
Practice address
2547 W 8TH St Unit 42
Erie, PA 16505-4443
Phone
(814) 315-9537
NPI assigned
Sep 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 833205 PA
Renal Nutrition Registered Dietitian 133VN1005X 833205 PA
Gerontological Nutrition Registered Dietitian 133VN1101X 833205 PA Primary

Addresses

Primary practice location

2547 W 8TH St Unit 42
Erie, PA 16505-4443

Mailing address

2547 W 8TH St Unit 42
Erie, PA 16505-4443
Phone (814) 315-9537

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address abagad@hotmail.com Health Information Exchange (HIE)
CONNECT URL abagad@hotmail.com Direct

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
833205PAMDNutritionist

NPI Registry JSON

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1740894757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2547 W 8TH ST UNIT 42",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054443",
            "telephone_number": "814-315-9537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2547 W 8TH ST UNIT 42",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054443",
            "telephone_number": "814-315-9537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHMER",
        "first_name": "MARLENE",
        "middle_name": "ROSE",
        "credential": "RD, LDN. FSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PA",
            "license": "833205",
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "PA",
            "license": "833205",
            "primary": false
        },
        {
            "code": "133VN1101X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Gerontological",
            "state": "PA",
            "license": "833205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abagad@hotmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2547 W 8th St Unit 42",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165054443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "abagad@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "work",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "all medical information",
            "address_1": "2547 W 8th St Unit 42",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165054443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.