Individual provider Active NPI

Marlen Tanner, RD

  • Registered Dietitian
  • Morro Bay, CA
National Provider Identifier
1871828962
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
CDR# 929304 Issued in CA
Practice address
2598 Main St
Morro Bay, CA 93442-1553
Phone
(805) 591-0712
Fax
(833) 264-5898
NPI assigned
Oct 7, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X CDR# 929304 CA Primary

Addresses

Primary practice location

2598 Main St
Morro Bay, CA 93442-1553

Mailing address

5860 Santa Rosa Creek Rd
Cambria, CA 93428-3534
Phone (805) 591-0712

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200901002471 CA Practitioner - Registered Dietitian Or Nutrition Professional 3870910151 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CDR# 929304CAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Marlena Tanner, RDN, LLC Dietitian, Registered CurrentSince Nov 14, 2017 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1871828962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5860 SANTA ROSA CREEK RD",
            "city": "CAMBRIA",
            "state": "CA",
            "postal_code": "934283534",
            "telephone_number": "805-591-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2598 MAIN ST",
            "city": "MORRO BAY",
            "state": "CA",
            "postal_code": "934421553",
            "telephone_number": "805-591-0712",
            "fax_number": "833-264-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "MARLEN",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-07",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "CDR# 929304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morro Bay, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; 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.