MARYBETH PECINA (NPI# 1669018594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669018594 |
| Entity Type | Individual |
| Full Name | MARYBETH PECINA |
| Practice Address |
1700 E 38th St Marion IN 46953-4568 |
| Mailing Address |
202 Doral Park Dr Kokomo IN 46901-7016 |
| Practice Telephone | 7656743321 |
| Mailing Telephone | 7654343289 |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2019-11-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | R659638 | IN | Dietary & Nutritional Service Providers |
| Street Address |
1700 E 38TH ST |
| City | MARION |
| State | IN |
| Zip Code | 46953-4568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881690055 | Alexis Miguel Echevarria-vargas | Physical Medicine & Rehabilitation | 1700 E 38th St, Marion, IN 46953-4568 | 2005-06-22 |
| 1780299438 | Malinee Sue Swihart | Physical Therapist | 1700 E 38th St, Marion, IN 46953-4568 | 2020-09-10 |
| 1336753235 | Lana L Skelton | Counselor | 1700 E 38th St, Building 124, Room 222, Marion, IN 46953 | 2020-09-08 |
| 1245844380 | Tiffany Clark | Pharmacist | 1700 E 38th St, Marion, IN 46953-4568 | 2020-09-05 |
| 1679183982 | Adam M Smith | Pharmacist | 1700 E 38th St, Marion, IN 46953-4568 | 2020-08-03 |
| 1770192684 | Matthew T Bajor | Pharmacist | 1700 E 38th St, Marion, IN 46953-4568 | 2020-07-27 |
| 1619594934 | Gary L Hite Jr. | Pharmacist | 1700 E 38th St, Marion, IN 46953-4568 | 2020-07-02 |
| 1801412804 | Amanda Diane Wisener | Pharmacist | 1700 E 38th St, Marion, IN 46953-4568 | 2020-06-25 |
| 1710503719 | Ana Maria Vargas | Pharmacist | 1700 E 38th St, Marion, IN 46953-4568 | 2020-06-25 |
| 1033755590 | Benjamin C Keplar | Social Worker | 1700 E 38th St, Marion, IN 46953-4568 | 2019-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396280335 | Sherri Gaye Hall Hamilton | Nurse Practitioner | 1700 West 38th Street, Marion, IN 46953 | 2016-12-29 |
| 1487022810 | Hannah Renfrow | Nurse Practitioner | 1411 W Bella Drive, Marion, IN 46953 | 2015-09-02 |
| 1174907844 | Kathleen Marie Kunkle | Occupational Therapy Assistant | 729 35th St., Marion, IN 46953 | 2015-07-13 |
| 1386054302 | Sarah Michelle Schultz | Specialist/Technologist | 4201 S Washington Street, Indiana Wesleyan University Athletic Training, Marion, IN 46953 | 2014-04-29 |
| 1437595022 | Famila Dental Marion LLC | Dentist | 1903 S Western Ave, Marion, IN 46953 | 2013-05-22 |
| 1063654887 | Mill Township Volunteer Fire Department | Ambulance | 2113 E. Old Kokomo Road, Marion, IN 46953 | 2009-03-25 |
| 1023203601 | Assisted Living Concepts Inc | Assisted Living Facility | 725 West 50th Street, Marion, IN 46953 | 2007-09-07 |
| 1538381991 | Lifetime Dental Care of Indiana, PC | Dentist | 2017 South Western Ave, Marion, IN 46953 | 2007-05-03 |
| 1063634699 | Bethany Dawn Coppock | Occupational Therapy Assistant | 4725 Colonial Oaks Drive, Marion, IN 46953 | 2007-05-03 |
| 1568684439 | Donna B Berryhill | Physical Therapy Assistant | 4725 South Colonial Oaks Drive, Marion, IN 46953 | 2007-05-02 |
| Find all providers in zip 46953 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487173571 | Melissa Mclaughlin | Dietitian, Registered | 3600 Highway 151, Marion, IA 52302 | 2017-09-11 |
| 1659635548 | Jennifer Ann Heringhausen | Dietitian, Registered | 3600 Business Hwy 151 E, Marion, IA 52302 | 2012-06-26 |
| 1932411279 | Stephanie E. Skinner | Dietitian, Registered | 649 1/2 Goolsby St, Marion, VA 24354-1703 | 2010-07-01 |
| 1306067350 | Jeannine Marcum | Dietitian, Registered | 3058 Claridon Westfield Road, Marion, OH 43302-8968 | 2007-05-01 |
| 1932274263 | Susan Lee Morvich | Dietitian, Registered | 2401 W Main Street Rm 113 Nhcu, Veterans Administration Medical Center, Marion, IL 62959 | 2006-11-21 |
| 1407456593 | Ann Hett | Dietitian, Registered | 535 S Freeborn St, Marion, KS 66861-1256 | 2020-10-28 |
| 1003463019 | Robert Joseph Simmons | Dietitian, Registered | 441 N Wabash Ave, Marion, IN 46952-2690 | 2019-08-23 |
| 1912559352 | Tori Gusewelle | Dietitian, Registered | 2401 W Main St, Marion, IL 62959-1188 | 2019-07-16 |
| 1609331016 | Anna Lois Mccullough | Dietitian, Registered | 441 N Wabash Ave, Marion, IN 46952-2690 | 2019-02-10 |
| 1134617228 | Jennifer Gelhaus | Dietitian, Registered | 441 N Wabash Ave, Marion, IN 46952-2612 | 2018-04-25 |
| Find all providers in MARION | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.