MARISA BROOKE FAIBISH MS, RD, CSSD
NPI 1114644937
Dietitian, Registered in Louisville, KY

Q: What is Marisa Faibish's NPI number?

The NPI number for Marisa Faibish is 1114644937. It was assigned to this individual provider in the NPPES registry on October 24, 2022.

Q: What is Marisa Faibish's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marisa Faibish was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since October 24, 2022

9451 WESTPORT RD STE 122C, LOUISVILLE, KY 40241(502) 855-7325(502) 855-7326 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 23, 2025, Dec 3, 2025, Oct 24, 2022 (3 updates tracked since 2022).

On this page

About Marisa Brooke Faibish Ms, Rd, Cssd NPPES

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

MARISA BROOKE FAIBISH MS, RD, CSSD (NPI 1114644937) is an individual dietitian, registered in Louisville, Kentucky, licensed in Kentucky (277028) and active in the NPI registry since October 2022. She is a graduate of Other (2017).

NPPES Registry Identity

NPI1114644937

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMARISA BROOKE FAIBISHCredential: MS, RD, CSSD

Location Address9451 WESTPORT RD STE 122CLouisville, KY 40241-2295

Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5339

Phone(502) 855-7325

Fax(502) 855-7326

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateOctober 24, 2022

Last NPPES UpdateDecember 23, 20253 updates tracked since enumeration

NPPES CertifiedDecember 23, 2025

✔ NPI 1114644937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in KY · 277028

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.

Also ListedDietitian, Registered · Nutrition, Sports DieteticsTaxonomy 133VN1501X · License L007094 (NC)

9451 WESTPORT RD STE 122C, Louisville, KY 40241

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Texas, CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marisa Brooke Faibish Ms, Rd, Cssd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123504495

PECOS Enrollment IDI20260107002195

Medicare Billing Reassignment

Medicare enrollment records show Marisa Faibish reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Medical Associates, Inc.

1.6 mi

Multi-Specialty

4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241

Reassigned Medicare billing, Kentucky enrollment
1,896 clinicians in this Medicare group

NPI 1073089850 (502) 588-9490

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATHAN MCKINNEY DO

Emergency Medicine (Sports Medicine)

9451 WESTPORT RD STE 122C
LOUISVILLE, KY 40241

Jefferson County (502) 855-7325

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 Faibish's NPI number?

The NPI number for Marisa Faibish is 1114644937. It was assigned to this individual provider in the NPPES registry on October 24, 2022.

Where is Marisa Faibish located?

Marisa Faibish practices at 9451 Westport Rd Ste 122C, Louisville, KY 40241. The listed phone number is (502) 855-7325.

What is Marisa Faibish's specialty?

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

Is Marisa Faibish enrolled in Medicare?

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

Which organization bills Medicare for Marisa Faibish's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marisa Faibish reassigns Medicare benefits to Community Medical Associates, Inc. (Louisville, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marisa Faibish's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marisa Faibish accept?

Health plans from Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Texas and CareSource list Marisa Faibish as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marisa Faibish was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.