Active NPI
Mara V. Lamb, RD,LD,CDE
- Registered Dietitian
- Dayton, OH
National Provider Identifier
1902018021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L400
- Practice address
- 2717 Miamisburg Centerville Rd Ste 207
Dayton, OH 45459-3797 - Phone
- (937) 435-4355
- Fax
- (937) 434-0102
- NPI assigned
- May 3, 2007
- 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 | L400 | OH | Primary |
Addresses
Primary practice location
2717 Miamisburg Centerville Rd Ste 207
Dayton, OH 45459-3797
Mailing address
1400 Heritage Rd.
Dayton, OH 45459-3305
Phone (937) 435-4355
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 63-00034 | Other | OH | UNITED HEALTH CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050111000009 | OH | Practitioner - Registered Dietitian Or Nutrition Professional | 2365490935 | Practice locations: Dayton, OH |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L400 | OH | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition Therapy Clinic | Dietitian, Registered | Past | Accepting new patients |
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": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1902018021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 HERITAGE RD.",
"city": "DAYTON",
"state": "OH",
"postal_code": "454593305",
"telephone_number": "937-435-4355",
"fax_number": "937-434-0102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2717 MIAMISBURG CENTERVILLE RD STE 207",
"city": "DAYTON",
"state": "OH",
"postal_code": "454593797",
"telephone_number": "937-435-4355",
"fax_number": "937-434-0102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMB",
"first_name": "MARA",
"middle_name": "V.",
"name_prefix": "Mrs.",
"credential": "RD,LD,CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "L400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "63-00034",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.