Marilyn Susan Bame, R.D., L.D., C.D.E.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

383926 Issued in NU

Practice address

5871 Monclova Rd
Diabetes Care Center @ St. Luke's Hospital
Maumee, OH 43537-1839

Phone

(419) 897-8391

Fax

(419) 887-8789

NPI assigned

Aug 27, 2009

Last updated

Oct 18, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1780817544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5871 MONCLOVA RD",
            "address_2": "DIABETES CARE CENTER @ ST. LUKE'S HOSPITAL",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371839",
            "telephone_number": "419-897-8391",
            "fax_number": "419-887-8789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5871 MONCLOVA RD",
            "address_2": "DIABETES CARE CENTER @ ST. LUKE'S HOSPITAL",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371839",
            "telephone_number": "419-897-8391",
            "fax_number": "419-887-8789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAME",
        "first_name": "MARILYN",
        "middle_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "R.D., L.D., C.D.E.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": "383926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Maumee, OH
• Providers in Maumee, OH by specialty
• Registered Dietitian in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; 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.