NPIMap

Organization Active NPI

Marley Nutrition and Fitness

  • Registered Dietitian
  • Frisco, TX
National Provider Identifier
1861028920
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
MARLEY NUTRITION AND FITNESS
Practice address
7790 Meadowbrook Ave
Frisco, TX 75033-3612
Phone
(831) 869-1510
NPI assigned
Mar 20, 2020
Last updated
Mar 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2020

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

Authorized official

Name
Marley Carnes, RDNNPI 1083262117
Title
Owner
Phone
(318) 691-5108

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

7790 Meadowbrook Ave
Frisco, TX 75033-3612

Mailing address

7790 Meadowbrook Ave
Frisco, TX 75033-3612
Phone (831) 869-1510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210212000201 TX Part B Supplier - Clinic/Group Practice 9234544842 Receives reassigned benefits from 4 practitioners
Practice locations: Frisco, TX

National Provider Directory

National Provider Directory

Locations

2 S Adair St
Pryor, OK 74361
Phone (469) 300-1392

6136 Frisco Square Blvd
Ste 40
Frisco, TX 75034

1111 Enterprise Dr
Pilot Point, TX 76258

130 N Preston Rd
Ste 346
Prosper, TX 75078
Phone (469) 300-1392

1855 Wesley
Ste A
Prosper, TX 75078
Phone (469) 300-1392

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1584662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584662400000",
    "number": "1861028920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7790 MEADOWBROOK AVE",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750333612",
            "telephone_number": "831-869-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7790 MEADOWBROOK AVE",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750333612",
            "telephone_number": "831-869-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLEY NUTRITION AND FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-20",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A",
        "authorized_official_last_name": "CARNES",
        "authorized_official_first_name": "MARLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-691-5108",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.