Carmen Marie Clutter, MS, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1067299 Issued in OH

Practice address

660 Ackerman Rd FL 5
Columbus, OH 43202-4500

Phone

(614) 293-2010

Fax

(614) 293-9908

NPI assigned

Nov 16, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Carmen Marie Canestraro Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1093284358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1537 WEISKOPF DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432287077",
            "telephone_number": "614-949-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 ACKERMAN RD FL 5",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432024500",
            "telephone_number": "614-293-2010",
            "fax_number": "614-293-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLUTTER",
        "first_name": "CARMEN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MS, RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-16",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "1067299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMEN",
            "last_name": "CANESTRARO",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Colleen Patricia Cloyd, PHARMD, BCPPS
• Jordan M Cloyd, MD
• Rebecca R. Cloyes, APRN-CNP
• Club for the Ages LLC
• Kevin L Cluts, LISW-S
• Mason Clutter, OD, MS
• Leisa Clymer, PH.D.
• Rebecca Cmar, DPT
• Cmdpn Medical Group of Ohio, P.a.
• CMH Smiles Beckman Morrison LLC

• 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 Nov 16, 2018; 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.