Individual provider Active NPI

Mariel Morales, RDN. LDN

  • Registered Dietitian
  • Winter Park, FL
National Provider Identifier
1972708741
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
914955
Practice address
3440 N Goldenrod Rd Apt 517
Winter Park, FL 32792-8768
Phone
(407) 558-2962
Fax
(321) 404-1019
NPI assigned
Jun 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 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 914955 Primary

Addresses

Primary practice location

3440 N Goldenrod Rd Apt 517
Winter Park, FL 32792-8768

Mailing address

3440 N Goldenrod Rd Apt 517
Winter Park, FL 32792-8768
Phone (407) 558-2962

Other names 1

  • Mrs. Mariel Morales-Rosario Other 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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nutriwellness4Life, LLC 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": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1972708741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 N GOLDENROD RD APT 517",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327928768",
            "telephone_number": "407-558-2962",
            "fax_number": "321-404-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 N GOLDENROD RD APT 517",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327928768",
            "telephone_number": "407-558-2962",
            "fax_number": "321-404-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "MARIEL",
        "name_prefix": "Mrs.",
        "credential": "RDN. LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "914955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIEL",
            "last_name": "MORALES-ROSARIO",
            "prefix": "MRS.",
            "credential": "RD, CDE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.