Marty Davey, MS, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN004602 Issued in PA

Practice address

254 Braeside Ave
East Stroudsburg, PA 18301-2933

Phone

(570) 420-8276

NPI assigned

Sep 13, 2012

Sex

Female

Sole proprietor

Yes

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

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  Medicare reassignment NPD

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1871843219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 BRAESIDE AVE",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183012933",
            "telephone_number": "570-420-8276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 BRAESIDE AVE",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183012933",
            "telephone_number": "570-420-8276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVEY",
        "first_name": "MARTY",
        "name_prefix": "Ms.",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN004602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniels Dynasty Childcare Center, Inc.
• Zowey M Danubio
• Caitlyn Rose Darczuk
• Darell Covington, M.D., P.C.
• McKenna Datesman
• Devyn Gabrielle Davis, PA-C
• Jaquanda Chante Davis, ATC
• Meghan Marie Davis
• Alexandra Michelle Davisson, ATC
• Jacquelyn Laurie Debates, PHARMD

• Registered Dietitian in East Stroudsburg, PA
• Providers in East Stroudsburg, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.