Active NPI
Marie C Mopsik, RDN, CDCES
- Registered Dietitian
- Austin, TX
National Provider Identifier
1871198978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 17626
- Practice address
- 12721 Capella TRL
Austin, TX 78732-2396 - Phone
- (512) 736-7156
- NPI assigned
- Dec 4, 2020
- Last updated
- Dec 4, 2020
- 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 | 17626 | TX | Primary |
Addresses
Primary practice location
12721 Capella TRL
Austin, TX 78732-2396
Mailing address
12721 Capella TRL
Austin, TX 78732-2396
Phone (512) 736-7156
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | mariemopsik@protonmail.com |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17626 | TX | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Keepcare LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607040000000",
"number": "1871198978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12721 CAPELLA TRL",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787322396",
"telephone_number": "512-736-7156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12721 CAPELLA TRL",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787322396",
"telephone_number": "512-736-7156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOPSIK",
"first_name": "MARIE",
"middle_name": "C",
"credential": "RDN, CDCES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-04",
"last_updated": "2020-12-04",
"certification_date": "2020-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "17626",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "mariemopsik@protonmail.com",
"affiliation": "N",
"address_1": "12721 Capella Trl",
"city": "Austin",
"state": "TX",
"country_code": "US",
"postal_code": "787322396",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.