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

Marisa Latinka

Individual provider Registered Dietitian · NPI 1063399731

Marisa Latinka is a Registered Dietitian OR Nutrition Professional in Austin, Texas. Qualified in 2016, 10 years ago. Practices with Nourish, Inc, a 277-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
10
In the registry since
2025
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Practice location Address checks out

3724 Jefferson St Ste 104
Austin, TX 78731-6204
Phone: (512) 693-7045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1063399731
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 16, 2025
Last updated in NPPESMay 31, 2026
Certification dateMay 31, 2026
Mailing address6221 E Eastland St, Tucson, AZ 85711-4641

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Nourish, Inc. — 277 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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