NPIMap

Individual provider Active NPI

Mary Elizabeth Peiffer, RD, LD

  • Registered Dietitian
  • Hiawatha, IA
National Provider Identifier
1760675276
Registry record updated Dec 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
00440 Issued in IA
Practice address
1350 Blairs Ferry Rd
Suite C
Hiawatha, IA 52233-1949
Phone
(319) 369-9690
Fax
(319) 294-5809
NPI assigned
Aug 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2009

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 00440 IA Primary

Addresses

Primary practice location

1350 Blairs Ferry Rd
Suite C
Hiawatha, IA 52233-1949

Mailing address

1350 Blairs Ferry Rd
Suite C
Hiawatha, IA 52233-1949
Phone (319) 369-9690

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

State licenses

LicenseStateTypeSpecialty
00440IAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carepro Integrative Health Clinic, Inc. Past Accepting new patients
CR Pharmacy Service, Inc Past Accepting new patients

Organizations & group practices 2

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": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262044800000",
    "number": "1760675276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 BLAIRS FERRY RD",
            "address_2": "SUITE C",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522331949",
            "telephone_number": "319-369-9690",
            "fax_number": "319-294-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 BLAIRS FERRY RD",
            "address_2": "SUITE C",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522331949",
            "telephone_number": "319-369-9690",
            "fax_number": "319-294-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEIFFER",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2009-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IA",
            "license": "00440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiawatha, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; 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.