Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marisa Brooke Faibish, MS, RD, CSSD

Individual provider Registered Dietitian · NPI 1114644937

Marisa Brooke Faibish, MS, RD, CSSD is a Registered Dietitian OR Nutrition Professional in Louisville, Kentucky. Qualified in 2017, 9 years ago. Practices as a sole proprietor. Licensed in Kentucky and North Carolina.

Years since qualifying
9
Licensed in
KY, NC
In the registry since
2022
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

9451 Westport Rd Ste 122C
Louisville, KY 40241-2295
Phone: (502) 855-7325
Fax: (502) 855-7326
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 277028 (KY)
Sports Dietetics Nutrition Registered Dietitian Taxonomy 133VN1501X · Licence L007094 (NC)

Record details

NPI number1114644937
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RD , CSSD
Sole proprietorYes
NPI enumeratedOctober 24, 2022
Last updated in NPPESDecember 23, 2025
Certification dateDecember 23, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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