Active NPI
Renee Lynette Spencer, R.D./L.D.
- Registered Dietitian
- Millersburg, OH
National Provider Identifier
1013248251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L2680
- Practice address
- 151 Parkview Dr
Millersburg, OH 44654-8949 - Phone
- (330) 439-4324
- NPI assigned
- Jan 28, 2010
- Last updated
- Jan 28, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L2680 | OH | Primary |
Addresses
Primary practice location
151 Parkview Dr
Millersburg, OH 44654-8949
Mailing address
10990 County Road 1
Shreve, OH 44676-9431
Phone (330) 567-3255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L2680 | OH | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264636800000",
"number": "1013248251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10990 COUNTY ROAD 1",
"city": "SHREVE",
"state": "OH",
"postal_code": "446769431",
"telephone_number": "330-567-3255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 PARKVIEW DR",
"city": "MILLERSBURG",
"state": "OH",
"postal_code": "446548949",
"telephone_number": "330-439-4324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "RENEE",
"middle_name": "LYNETTE",
"credential": "R.D./L.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-28",
"last_updated": "2010-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "L2680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Millersburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.