Individual provider Active NPI

Marie Lynn Bieber, RD

  • Registered Dietitian
  • Rochester, NY
National Provider Identifier
1790143105
Registry record updated Dec 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86033283 Issued in NY
Practice address
919 Winton Rd S Ste 220
Rochester, NY 14618
Phone
(585) 445-4610
Fax
(585) 270-6919
NPI assigned
Feb 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2018

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 86033283 NY Primary

Addresses

Primary practice location

919 Winton Rd S Ste 220
Rochester, NY 14618

Mailing address

919 Winton Rd S Ste 220
Rochester, NY 14618-1637
Phone (585) 445-4610

Other practice location 1

1387 Fairport Rd
Suite 1000D
Fairport, NY 14450-2003
Phone (585) 641-0282 ext. 5

Other practice location 2

919 Winton Rd S Ste 220
Rochester, NY 14618
Phone (585) 445-4610

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
86033283NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Pearls of Nutrition PLLC Dietitian, Registered Current Accepting new patients

Locations

919 Winton Rd S
Ste 220
Rochester, NY 14618
Phone (585) 204-0270

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": "1454284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545523200000",
    "number": "1790143105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 WINTON RD S STE 220",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146181637",
            "telephone_number": "585-445-4610",
            "fax_number": "585-270-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 WINTON RD S STE 220",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14618",
            "telephone_number": "585-445-4610",
            "fax_number": "585-270-6919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1387 Fairport Rd",
            "address_2": "Suite 1000D",
            "address_purpose": "LOCATION",
            "city": "Fairport",
            "state": "NY",
            "postal_code": "144502003",
            "country_code": "US",
            "telephone_number": "585-641-0282 x5",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "919 Winton Rd S Ste 220",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "14618",
            "country_code": "US",
            "telephone_number": "585-445-4610",
            "fax_number": "585-270-6919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIEBER",
        "first_name": "MARIE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-01",
        "last_updated": "2018-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86033283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2018; 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.