Active NPI
Marie E Pierrelus, RD, LD
- Registered Dietitian
- Immokalee, FL
National Provider Identifier
1811677255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND6111
- Practice address
- 419 N 1St St
Immokalee, FL 34142-3150 - Phone
- (239) 252-7310
- NPI assigned
- Jul 20, 2023
- 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 | ND6111 | FL | Primary |
Addresses
Primary practice location
419 N 1St St
Immokalee, FL 34142-3150
Mailing address
4106 23Rd St SW
Lehigh Acres, FL 33976-3338
Phone (239) 823-3367
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | 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": "1689811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736899200000",
"number": "1811677255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4106 23RD ST SW",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339763338",
"telephone_number": "239-823-3367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 N 1ST ST",
"city": "IMMOKALEE",
"state": "FL",
"postal_code": "341423150",
"telephone_number": "239-252-7310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERRELUS",
"first_name": "MARIE",
"middle_name": "E",
"credential": "RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-20",
"last_updated": "2025-01-15",
"certification_date": "2025-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND6111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Immokalee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.