Individual provider Active NPI

Mary Jo Lakatos, R.D., C.D.E.

  • Registered Dietitian
  • Marshall, MI
National Provider Identifier
1962799205
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
200 N Madison St
Marshall, MI 49068-1143
Phone
(269) 781-4271
Fax
(269) 789-8970
NPI assigned
Jul 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

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 Primary

Addresses

Primary practice location

200 N Madison St
Marshall, MI 49068-1143

Mailing address

200 N Madison St
Marshall, MI 49068-1143
Phone (269) 781-4271

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

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309996800000",
    "number": "1962799205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N MADISON ST",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681143",
            "telephone_number": "269-781-4271",
            "fax_number": "269-789-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N MADISON ST",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681143",
            "telephone_number": "269-781-4271",
            "fax_number": "269-789-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKATOS",
        "first_name": "MARY JO",
        "name_prefix": "Mrs.",
        "credential": "R.D., C.D.E.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.