Individual provider · Type 1 NPI

Marisa Brooke Faibish, MS, RD, CSSD

Registered Dietitian · Louisville, KY

NPI number 1114644937 Active

Practice location

9451 Westport Rd Ste 122C
Louisville, KY 40241-2295

Fax (502) 855-7326

Mailing address

PO Box 776351
Chicago, IL 60677-6351

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X277028 (KY)
Sports Dietetics Nutrition Registered Dietitian 133VN1501XL007094 (NC)

Registered Dietitian: 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…

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About NPI 1114644937

Marisa Brooke Faibish, MS, RD, CSSD's National Provider Identifier is 1114644937, issued on Oct 24, 2022. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Louisville, KY. The record was last updated on Dec 23, 2025.