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MRS. MARY VIRGINIA MARK RD LD CDE NPI 1497242911


NPI Information

NPI: 1497242911
Provider Name: MRS. MARY VIRGINIA MARK, RD, LD, CDE
Classification: Dietitian, Registered - 133V00000X
Entity Type: Individual
Address:
408 COUNCIL CIRCLE
SUITE C
TUPELO, MS
ZIP 38801
Phone: (662) 377-6334
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MRS. Mary Virginia Mark, RD, LD, CDE is a dietitian registered in Tupelo, MS. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. MRS. Mary Virginia Mark, RD, LD, CDE NPI is 1497242911. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

408 COUNCIL CIRCLE
SUITE C
TUPELO, MS
ZIP 38801-949
Phone: (662) 377-6334
Fax: (662) 377-6330

The enumeration date for this NPI number is 4/19/2018 and was last updated on 6/16/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133V00000XDietitian, RegisteredD0804MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D0804OTHERMISSISSIPPIMISSISSIPPI STATE DEPARTMENT OF HEALTH PROFESSIONAL LICENSURE
222220310OTHERNATIONAL CERTIFICATION BOARD FOR DIABETES EDUCATORS
3860079OTHERCOMMISSION OF DIETETIC REGISTRATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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