Individual provider Active NPI

Mary Ann Duff, RDN, LDN

  • Registered Dietitian
  • Springfield, MO
National Provider Identifier
1902526601
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2000175375 Issued in MO
Practice address
Ozarks Dialysis Services
3525 S. National Ave, Suite 108
Springfield, MO 65807
Phone
(417) 269-8736
Fax
(417) 269-3471
NPI assigned
Sep 1, 2022
Last updated
Sep 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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 2000175375 MO Primary

Addresses

Primary practice location

Ozarks Dialysis Services
3525 S. National Ave, Suite 108
Springfield, MO 65807

Mailing address

5814 S Northern Ridge Rd
Springfield, MO 65810-1976
Phone (417) 848-0259

Other practice location 1

Cox Health
3801 S. National Ave.
Springfield, MO 65807
Phone (417) 269-6000

Other identifiers 1

IdentifierTypeStateIssuer
803062OtherREGISTERED DIETITIAN

Other names 1

  • Mary Snyder Duff Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2000175375MOMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1902526601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5814 S NORTHERN RIDGE RD",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658101976",
            "telephone_number": "417-848-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OZARKS DIALYSIS SERVICES",
            "address_2": "3525 S. NATIONAL AVE, SUITE 108",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65807",
            "telephone_number": "417-269-8736",
            "fax_number": "417-269-3471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Cox Health",
            "address_2": "3801 S. National Ave.",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "65807",
            "country_code": "US",
            "telephone_number": "417-269-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUFF",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2000175375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED DIETITIAN",
            "identifier": "803062",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "DUFF",
            "middle_name": "SNYDER",
            "credential": "RDN, LDN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.