Marisa Brooke Faibish, MS, RD, CSSD
NPI 1114644937ActiveIndividual· Dietitian, Registered· Louisville, KY
Dietitian, Registered (MS, RD, CSSD) in Louisville, Kentucky, licensed in KY and NC, with an NPI issued in October 2022. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1114644937 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, RD, CSSD |
| Sole proprietor | Yes |
| NPI issued | Oct 24, 2022 |
| Last updated in NPPES | Dec 23, 2025 |
| Certified by provider | Dec 23, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 277028 | KY |
| Dietitian, Registered, Nutrition, Sports Dietetics | 133VN1501X | L007094 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (KY) |
|---|
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
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