Active NPI
Marie Lynn Bieber, RD
- Registered Dietitian
- Rochester, NY
National Provider Identifier
1790143105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86033283
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 86033283 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New 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.