Mary Jo Marine, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

955745 Issued in AZ

Practice address

8952 E. Desert Cove Dr.
Suite 114
Scottsdale, AZ 85260

Phone

(480) 634-2985

Fax

(480) 634-2987

NPI assigned

Feb 6, 2014

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

State licenses

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.

• P&G Allergy & Family Practice PLLC

  • Family Medicine Physician
  • Prescott, AZ
  • NPI 1447902556
  NPD

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391644800000",
    "number": "1871917112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8776 E. SHEA BLVD.",
            "address_2": "SUITE 103-304",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85260",
            "telephone_number": "480-634-2985",
            "fax_number": "480-634-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8952 E. DESERT COVE DR.",
            "address_2": "SUITE 114",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85260",
            "telephone_number": "480-634-2985",
            "fax_number": "480-634-2987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINE",
        "first_name": "MARY",
        "middle_name": "JO",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-06",
        "last_updated": "2014-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "955745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eleanor Concepcion Mariano, M.D.
• Marias Health Services LLC
• Coleen K Marias, MD
• Elizabeth M. Marietti, CSW
• Marilyn Manor Assisted Living Home, LLC
• Morgan Marini
• Elizabeth A Marino, PA-C
• Jennifer Marino, PA-C
• Julia Marino
• Vincent A. Marino, M.D.

• Registered Dietitian in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Registered Dietitian in Arizona

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