Individual provider Active NPI

Kendall Rae Kasper, RD

  • Registered Dietitian
  • Sandusky, OH
National Provider Identifier
1063233187
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD.09387 Issued in OH
Practice address
1912 Hayes Ave
Sandusky, OH 44870-4736
Phone
(419) 502-2800
NPI assigned
Oct 21, 2024
Last updated
Mar 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD.09387 OH Primary

Addresses

Primary practice location

1912 Hayes Ave
Sandusky, OH 44870-4736

Mailing address

2007 Cedar Point Rd
Sandusky, OH 44870-5251
Phone (330) 466-6395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241119002689 OH Practitioner - Registered Dietitian Or Nutrition Professional 7719412394 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LD.09387OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Services of Erie County CurrentSince Nov 11, 2024 Accepting new patients
Family Health Services of Erie County CurrentSince Nov 11, 2024 Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients

Locations

20 Center St
Berlin Heights, OH 44814
Phone (419) 499-3000

207 Lowell St
Rm 212
Castalia, OH 44824

209 Lowell St
Ste 213
Castalia, OH 44824

3851 US Hwy 20
Collins, OH 44826

1 University Dr
Rm 112B
Huron, OH 44839

710 Cleveland Rd W
Huron, OH 44839

140 S Main St
Milan, OH 44846
Phone (419) 499-3000

2603 State Route 113 E
Milan, OH 44846
Phone (419) 499-3000

101 West St
Rm 340
Monroeville, OH 44847

265 Benedict Ave
Norwalk, OH 44857
Phone (419) 219-9776

125 E Adams St
Sandusky, OH 44870

149 E Water St
Sandusky, OH 44870
Phone (419) 625-0925

1912 Hayes Ave
Sandusky, OH 44870
Phone (419) 609-1460

1912 Hayes Ave
Ste D
Sandusky, OH 44870
Phone (419) 502-4800

1912 Hayes Ave
Ste E
Sandusky, OH 44870

2020 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-1236

2130 Hayes Ave
Sandusky, OH 44870
Phone (419) 984-1068

2130 Hayes Ave
#A
Sandusky, OH 44870

2130 Hayes Ave
Ste A
Sandusky, OH 44870

2314 Hancock St
Sandusky, OH 44870

620 E Water St
Sandusky, OH 44870
Phone (419) 624-8574

620 E Water St
Ste A
Sandusky, OH 44870
Phone (419) 502-2829

620 E Water St
Ste D
Sandusky, OH 44870

924 Ontario St
Sandusky, OH 44870
Phone (419) 984-1250

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACBJAA/Endpoint/ACBJAA

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1063233187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 CEDAR POINT RD",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448705251",
            "telephone_number": "330-466-6395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 HAYES AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704736",
            "telephone_number": "419-502-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASPER",
        "first_name": "KENDALL",
        "middle_name": "RAE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-21",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD.09387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.