Marilyn Kay Dahl, RD, MBA, LD/N

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND546 Issued in FL

Practice address

2380 3Rd St S Ste 2
Jacksonville Beach, FL 32250-8038

Phone

(904) 270-1234

NPI assigned

Oct 19, 2006

Last updated

Jun 6, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration

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.

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• Preferred Nutrition Services, LLC

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402012800000",
    "number": "1871675710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 DUVAL DRIVE",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "32250",
            "telephone_number": "904-285-4912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 3RD ST S STE 2",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322508038",
            "telephone_number": "904-270-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHL",
        "first_name": "MARILYN",
        "middle_name": "KAY",
        "credential": "RD, MBA, LD/N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2014-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Cruz Hernandez
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• Kristen E Currie, M.D.
• Carla Cutter, LMT
• John Dallarosa, M.D.
• Dancing Phoenix PLLC
• Darryl a. Field, DDS, PA, LLC
• Chelsey Millstone Dasher, RD
• Davenport Chiropractic, P.a.

• Registered Dietitian in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.