Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114687787 Individual Practitioner Female Practitioner

Marissa Buckley , MS, RD, LD

Dietitian, Registered • Austin, TX

Professional Overview & Biography Verified Profile Summary

Marissa Buckley, MS, RD, LD is a registered healthcare professional specializing in Dietitian, Registered in Austin, TX. Practice services are available at 100 W DEAN KEETON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 W Dean Keeton St
Campus Mail A3900

Austin, TX 78712

Telephone 5124714955
Associated Practice Facility / Clinic
🏢 Charlotte Katzin Facility NPI 1457747719

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Austin, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.1 Yrs
State Avg: 13.6 Yrs
Regional Practice Density
1050 Specialists

Practicing in Austin, TX (5148 Statewide)

Telehealth Adoption Rate
3.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-03-21
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Ellyn Lizakowski , APRN, NP-C

Nurse Practitioner - Family

NPI 1053667683

Advanced Practice Registered Nurse, Nurse Practitioner (Certified)

Fiadh Cassidy

Student in an Organized Health Care Education/Training Program

NPI 1114897691
Dr. Laura Goodell , MD

Family Medicine

NPI 1164495677

Doctor of Medicine (M.D.)

NPI 1164712998

Doctor of Medicine (M.D.)

Dr. Hannah Bennett , DPT

Physical Therapist

NPI 1174895908

Doctor of Physical Therapy

Claudia Cantu , PA-C

Physician Assistant

NPI 1316333149

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location March 21, 2024

Registered at 100 W DEAN KEETON ST, CAMPUS MAIL A3900, AUSTIN, TX 78712 (Tel: 5124714955)

📍
Updated Business Mailing Address March 21, 2024

Registered at 100 W DEAN KEETON ST, CAMPUS MAIL A3900, AUSTIN, TX 78712

👤
Provider Name / Credentials Updated March 21, 2024

Recorded as MARISSA BUCKLEY, MS, RD, LD

📍
Updated Practice Location January 24, 2023

Registered at 3624 N HILLS DR STE A201, AUSTIN, TX 787313085 (Tel: 5126484313)

📍
Updated Business Mailing Address January 24, 2023

Registered at 3624 N HILLS DR STE A201, AUSTIN, TX 787313085

👤
Provider Name / Credentials Updated January 24, 2023

Recorded as MARISSA BUCKLEY, RD, LD

📍
Updated Practice Location January 18, 2022

Registered at 3816 S LAMAR BLVD, AUSTIN, TX 78704 (Tel: 9259170057)

📍
Updated Business Mailing Address January 18, 2022

Registered at 3724 JEFFERSON ST STE 104, AUSTIN, TX 787316204

NPI Profile Active December 23, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location December 23, 2021

Registered at 3816 S LAMAR BLVD APT 2521, AUSTIN, TX 787047955 (Tel: 9259170057)

📍
Updated Business Mailing Address December 23, 2021

Registered at 3816 S. LAMAR BLVD APT. 2521, AUSTIN, TX 78704

👤
Provider Name / Credentials Updated December 23, 2021

Recorded as MARISSA BUCKLEY, RD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 23, 2021

Dietitian, Registered

🟢
Initial NPI Registration & Enumeration December 23, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114687787
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 23, 2021
Last Update: March 21, 2024
Sole Proprietor: No

Mailing Address

100 W Dean Keeton St, Campus Mail A3900

Austin, TX 78712

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.