MRS. MARY LOUISE TACCETTA


Address: 2860 S.w 1st Ave, Ocala, FL 34471
Phone: 3526228758

MRS. MARY LOUISE TACCETTA (NPI# 1548482557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548482557
Entity Type Individual
Full Name MRS. MARY LOUISE TACCETTA
Credential R.D.. C.S.R. L.D
Practice Address 2860 S.w 1st Ave
Ocala
FL 34471
Mailing Address 2030 S.w 44th Lane
Ocala
FL 34474
Practice Telephone 3526228758
Practice Fax Number 3526228658
Mailing Telephone 3522376541
Enumeration Date 2007-05-02
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133VN1005X Dietitian, Registered
Specialization: Nutrition, Renal
ND430 FL Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
RD REGISTRATION # R423321 01

Office Location

Street Address 2860 S.W 1ST AVE
City OCALA
State FL
Zip Code 34471

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Taxonomy Information

Taxonomy Code 133VN1005X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Renal

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1588274104 Mary Ellen Bing Dietitian, Registered 32 Iroquois Trl, Ormond Beach, FL 32174-4332 2020-08-07
1114545605 Erika Marie Stahl Dietitian, Registered 651 Jamestown Blvd Apt 2116, Altamonte Springs, FL 32714-4683 2020-07-10
1659905016 Erika Cook Dietitian, Registered 7 Sea Oaks Dr, St Augustine, FL 32080-7914 2020-02-25
1669039285 Jennifer Mann Dietitian, Registered 1647 Island Way, Weston, FL 33326 2019-05-20
1306343850 Annmarie Duggan Dietitian, Registered 18004 Nw 6th St Ste 104, Pembroke Pines, FL 33029-2823 2018-04-11
1245500933 Jeanette Poillucci Dietitian, Registered 3700 Nw 88th Ave, 102, Sunrise, FL 33351-6556 2012-01-11
1710297452 Susan Lynn Bottiglieri Dietitian, Registered 6641 Current Dr, Apollo Beach, FL 33572-1544 2010-10-15
1609189059 John Dodd Dietitian, Registered 123 Sandcastle Dr, Ormond Beach, FL 32176-4156 2010-07-14
1548588627 Cesiah Rojas Dietitian, Registered 11809 Sw 103rd Ln, Miami, FL 33186-8541 2010-05-13
1992020705 Susan Marie Meese-morris Dietitian, Registered 333 Nw 70th Ave Ste 107, Plantation, FL 33317-2358 2010-04-05
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Competitor

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City OCALA
Zip Code 34471

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Dataset Information

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.

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