NPIMap

Organization Active NPI

Marcia Pell Cde RDN LDN LLC

  • Registered Dietitian
  • Lynn Haven, FL
National Provider Identifier
1811313463
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND3263 Issued in FL
Legal business name
MARCIA PELL CDE RDN LDN LLC
Practice address
2337 Judson St
Lynn Haven, FL 32444-3018
Phone
(850) 867-0336
Fax
(888) 975-7696
NPI assigned
Mar 6, 2014
Last updated
May 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2014

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

Authorized official

Name
Marcia PellNPI 1700023959
Title
Owner
Phone
(850) 867-0336

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X ND3263 FL Primary

Addresses

Primary practice location

2337 Judson St
Lynn Haven, FL 32444-3018

Mailing address

2337 Judson St
Lynn Haven, FL 32444-3018
Phone (850) 867-0336

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400198400000",
    "number": "1811313463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2337 JUDSON ST",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324443018",
            "telephone_number": "850-867-0336",
            "fax_number": "888-975-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2337 JUDSON ST",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324443018",
            "telephone_number": "850-867-0336",
            "fax_number": "888-975-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCIA PELL CDE RDN LDN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-06",
        "last_updated": "2014-05-16",
        "status": "A",
        "authorized_official_last_name": "PELL",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-867-0336"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND3263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.