Individual provider Active NPI

Janette P Marnik, LDN

  • Registered Dietitian
  • Beaver, PA
National Provider Identifier
1922709849
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN003054 Issued in PA
Practice address
265 3Rd St FL 2
Beaver, PA 15009-2350
Phone
(330) 256-0533
Fax
(330) 595-4727
NPI assigned
Mar 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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 DN003054 PA Primary

Addresses

Primary practice location

265 3Rd St FL 2
Beaver, PA 15009-2350

Mailing address

265 3Rd St FL 2
Beaver, PA 15009-2350
Phone (330) 256-0533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230801004649 PA Practitioner - Registered Dietitian Or Nutrition Professional 3779944160 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Wellness Center Inc CurrentSince Jul 5, 2023 Accepting new patients
Rd Jrod Nutrition Counseling LLC Dietitian, Registered CurrentSince Apr 23, 2025 Accepting new patients
Trotter Therapy Services, LLC PastSince Mar 19, 2023 Accepting new patients

Locations

265 3rd St
#2
Beaver, PA 15009
Phone (724) 371-0177

3 E Poland Ave
Bessemer, PA 16112
Phone (330) 720-4912

3124 Wilmington Rd
New Castle, PA 16105
Phone (724) 656-4250

1000 Cliffmine Rd
Ste 130
Pittsburgh, PA 15275
Phone (412) 925-2910

Organizations & group practices 3

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": "1678924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1922709849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 3RD ST FL 2",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092350",
            "telephone_number": "330-256-0533",
            "fax_number": "330-595-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 3RD ST FL 2",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092350",
            "telephone_number": "330-256-0533",
            "fax_number": "330-595-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARNIK",
        "first_name": "JANETTE",
        "middle_name": "P",
        "credential": "LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN003054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.