MARLENE ROSE DAVIS (RD/LD) – Renal Nutrition Registered Dietitian, NPI 1376814145

Renal Nutrition Registered Dietitian

MARLENE ROSE DAVIS (RD/LD) is a healthcare provider. based in San antonio, Texas. specializing in Renal Nutrition Registered Dietitian. They hold the professional credentials RD/LD. They hold a License No. DT05210 (TX). The NPI Number for MARLENE ROSE DAVIS (RD/LD) is 1376814145

Main info

Female

Sole Proprietor

32 Years Of Experience

Accepts Medicare Assignment

Name

MARLENE ROSE DAVIS (RD/LD)

NPI

1376814145

Phone

(210) 828-5487

Address

419 COUNTRY LN

Enumeration Date

25 January 2012

Last Update Date

25 January 2012

Doctor Profile

Medical School Name

OTHER

Secondary Phone

9403831240

Graduation Year

1994 (32 years ago)

PAC ID

8325478688

Group Practice PAC ID

3870755564

Professional Enrollment ID

I20200429000522

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for MARLENE ROSE DAVIS (RD/LD)

419 COUNTRY LN
SAN ANTONIO, TX 782092320
Phone: (210) 828-5487
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78209)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 3870755564View full group profile

Name	Specialty	State
MR. JOSEPH JAMIE IBARRA (MCN, RDN, LD)	Registered Dietitian Or Nutrition Professional	TX
MRS. KAMELA LYNIECE RATCLIFF (MS, RD/LD)	-	OK
OMAR IHSAN SHISHAKLY	-	TX
JORDAN PALMER	-	TX
MRS. MARY ANN SHANNON (RD. LD.)	-	IL
MS. LISA BLACKMAN (M.S., R.D., L.D)	-	TX
MRS. SARAH BETH DAVIS (R.D.)	-	TX
CHARLES JOHN SCHUEPFER	-	TX
CARLA D DELPHEN	Registered Dietitian Or Nutrition Professional	TX
RHIANNON KANAY WELCH (RD/LD)	Registered Dietitian Or Nutrition Professional	OK

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Frequently asked questions

Does MARLENE ROSE DAVIS (RD/LD) have a public NPI I can cite?

Public records show MARLENE ROSE DAVIS (RD/LD) under NPI 1376814145.

Is MARLENE ROSE DAVIS (RD/LD)'s NPI status active today?

Active status means MARLENE ROSE DAVIS (RD/LD)'s NPI record is not deactivated in the public file.

Which specialty label fits MARLENE ROSE DAVIS (RD/LD)?

NPPES ties MARLENE ROSE DAVIS (RD/LD) to Renal Nutrition Registered Dietitian in the taxonomy section. Clinical services aligned with this taxonomy classification.

What city is tied to MARLENE ROSE DAVIS (RD/LD)?

The directory associates MARLENE ROSE DAVIS (RD/LD) with San Antonio, Texas. Check all listed addresses for suites or satellite offices.

Can I export MARLENE ROSE DAVIS (RD/LD)'s record?

You can download the official NPPES record; we summarize key fields for readability.