M.P. Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

M.P. NUTRITION LLC

Practice address

5509 Pleasant Valley Dr Ste 70
Plano, TX 75023-5225

Phone

(936) 212-0877

NPI assigned

Aug 14, 2020

Organization subpart

No

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

Authorized official

Name

Mara Paige Ingersoll, MS, RD, LDNPI 1538777560

Title

Dietitian/Owner

Phone

(936) 212-0877

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mara Paige Ingersoll, MS, RD, LD

  • Registered Dietitian
  • Plano, TX
  • NPI 1538777560
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597363200000",
    "number": "1912518754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5509 PLEASANT VALLEY DR STE 70",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750235225",
            "telephone_number": "936-212-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5509 PLEASANT VALLEY DR STE 70",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750235225",
            "telephone_number": "936-212-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.P. NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A",
        "authorized_official_last_name": "INGERSOLL",
        "authorized_official_first_name": "MARA",
        "authorized_official_middle_name": "PAIGE",
        "authorized_official_title_or_position": "DIETITIAN/OWNER",
        "authorized_official_telephone_number": "936-212-0877",
        "authorized_official_credential": "MS, RD, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Frances Lyon, M.S. CCC-SLP
• Sabrina Lytle
• Charles M-Inim, LPC-A
• M.E. Diagnostics
• M.L. Brochner, M.D., P.C. Visual Images
• Jason J Ma, M.D.
• John Leo Ma, PHARMD
• Ma1Holdings Dba Proactive Dental
• Gerhard Emil Maale III, M.D.
• Kim K. Maale, M.D.

• Registered Dietitian in Plano, TX
• Providers in Plano, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; 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.