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MRS. MARISA MARTINEAU STEPHENS RDN
NPI 1063045441
Dietitian, Registered in Queen Creek, AZ

Active since February 13, 2020
20947 E MOCKINGBIRD DR, QUEEN CREEK, AZ 85142(480) 221-3579 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 30, 2025, Feb 13, 2020 (2 updates tracked since 2020).

About Mrs. Marisa Martineau Stephens Rdn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARISA MARTINEAU STEPHENS RDN (NPI 1063045441) is an individual dietitian, registered in Queen Creek, Arizona and active in the NPI registry since February 2020. She is a graduate of Other (2005).

NPPES Registry Identity

NPI1063045441
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMRS. MARISA MARTINEAU STEPHENSCredential: RDN
Location Address20947 E MOCKINGBIRD DRQueen Creek, AZ 85142-3789
Mailing Address21168 E Via Del OroQueen Creek, AZ 85142-6966 · (480) 221-3579
Phone(480) 221-3579
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateFebruary 13, 2020
Last NPPES UpdateMay 30, 20252 updates tracked since enumeration
NPPES CertifiedMay 30, 2025
✔ NPI 1063045441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
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.
20947 E MOCKINGBIRD DR, Queen Creek, AZ 85142
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Marisa Martineau Stephens Rdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911494661
PECOS Enrollment IDI20251015003934

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marisa Stephens's NPI number?

The NPI number for Marisa Stephens is 1063045441. It was assigned to this individual provider in the NPPES registry on February 13, 2020.

Where is Marisa Stephens located?

Marisa Stephens practices at 20947 E Mockingbird Dr, Queen Creek, AZ 85142. The listed phone number is (480) 221-3579.

What is Marisa Stephens's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Marisa Stephens enrolled in Medicare?

Yes. Marisa Stephens is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marisa Stephens was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.