Sandra Lynn Audley, M.S., R.D., L.D.
Individual provider Active NPI Registered Dietitian · Cleveland, OH
NPI 1073590063 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1073590063
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 4532 (OH)
- Practice address
- 4514 Bader Ave
Cleveland, OH 44109-5266 - Phone
- (216) 832-1311
- Fax
- (216) 741-8705
- NPI assigned
- Dec 29, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4532 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cloud Health Medical Group of California, P.C. | Past | Accepting new patients | |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
| Cloud Health Medical Group, P.a. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 4532 | OH | Yes |
Addresses
Primary practice location
4514 Bader Ave
Cleveland, OH 44109-5266
Mailing address
4514 Bader Ave
Cleveland, OH 44109-5266
Phone (216) 832-1311
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000379531 | Other | OH | ANTHEM BLUE CROSS/SHIELD |
Other providers in Cleveland, OH
- Federico N Aucejo
- Kamdyn Auch
- Mirella P Auchus
- Dennis H Auckley
- Ashley Audi
- Sarah Ann Aufmuth
- Samara Auguste
- Najwan Augustin
- Toms Augustin
- Ashley Elizabeth Augustine-Le
All providers in Cleveland, OH · Registered Dietitian in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.