Active NPIIndividual provider

Marissa Puputti, MS, RDN, LDN

Dietitian, Registered in Peabody, Massachusetts

NPI Number1174030027
Practice location
2 Corporation Way Ste 260, Peabody, MA 01960-7932
Fax
—
Last updated
December 5, 2020

Marissa Puputti is a Dietitian, Registered based in Peabody, MA. Marissa Puputti practices in Peabody, MA and has the professional credentials of MS, RDN, LDN. The NPI Number for Marissa Puputti is 1174030027 and holds a License No. 4297 (MA). The current practice location address for Marissa Puputti is 2 Corporation Way Ste 260, Peabody, MA 01960-7932 and can be reached out via phone at 978-531-2904.

Provider Profile Details

NPI Number
1174030027
Provider Name
Marissa Puputti
Credential
MS, RDN, LDN
Provider Entity Type
Individual
Gender
Female
Address
2 Corporation Way Ste 260, Peabody, MA 01960-7932
Phone Number
978-531-2904
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
January 1, 2018
Last Update Date
December 5, 2020
Certification Date
December 5, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Corporation Way Ste 260
Peabody, MA 01960-7932
Zip
01960-7932
Phone Number
978-531-2904
Peabody, MA 01960Get directions →

Provider Business Mailing Address Details

Address
1361 Rindge RD
Fitchburg, MA 01420-1323
City
Fitchburg
State
MA
Zip
01420-1323
Phone Number
508-331-7444

License Information

License Number
4297
License State
MA
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Marissa Puputti, MS, RDN, LDN?

The NPI number of Marissa Puputti, MS, RDN, LDN is 1174030027. It was assigned on January 1, 2018 and is currently active in the NPPES registry.

What is the specialty of Marissa Puputti, MS, RDN, LDN?

Marissa Puputti, MS, RDN, LDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 4297.

Where does Marissa Puputti, MS, RDN, LDN practice?

The practice location is 2 Corporation Way Ste 260, Peabody, MA 01960-7932. The office can be reached at 978-531-2904 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174030027 directly on the NPPES registry website.

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