Marli Jean Carlson, RD, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

818424 Issued in MI

Practice address

100 Malton St
Negaunee, MI 49866-2001

Phone

(906) 485-2118

NPI assigned

Dec 14, 2006

Last updated

Mar 19, 2008By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bell Medical Center

  • Multi-Specialty Clinic/Center
  • Ishpeming, MI
  • NPI 1477664837
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1851453351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S 4TH ST",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498492151",
            "telephone_number": "906-485-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MALTON ST",
            "city": "NEGAUNEE",
            "state": "MI",
            "postal_code": "498662001",
            "telephone_number": "906-485-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "MARLI",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "RD, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MI",
            "license": "818424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hillary Brandenburg, RN, BSN, SANE-A
• Matthew Brandow, AUDIOLOGIST
• Loni Ann Burnett
• Bethany Byman
• Breanne Rene Carlson, MS, CSCS, CPT, USAW
• Erin Leigh Carpenter, FNP
• Denise Marie Carroll
• Richard Cooley III, DO
• County of Marquette
• Christina Crow-Roberts

• Registered Dietitian in Negaunee, MI
• Providers in Negaunee, MI by specialty
• Registered Dietitian in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.