Kearson Petruzzi, MS, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD.10153 Issued in OH

Practice address

186 E Norwich Ave Apt a
Columbus, OH 43201-1233

Phone

(330) 621-8611

NPI assigned

May 11, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Networks

• devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
• OH PPO
• KY PPO
• devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
• KY PPO C-SNP
• devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
• devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1003506155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 E NORWICH AVE APT A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432011233",
            "telephone_number": "330-621-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 E NORWICH AVE APT A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432011233",
            "telephone_number": "330-621-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRUZZI",
        "first_name": "KEARSON",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD.10153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikhail Petrov, O.D.
• Liljana Petrova
• Joseph P Petrozzi, CRNA
• Mary E Petrulis, MD
• Richard J Petruska, LISW
• Danielle Petry
• Stephen Ray Pettay, DC
• David Patrick Pettit, MD
• Jalisa Petty
• Kerri Petuch-Henslee

• Registered Dietitian in Columbus, OH
• Providers in Columbus, OH by specialty
• Registered Dietitian in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.