Active NPI
Kelly J Satola, MS, RD, LD
- Registered Dietitian
- Independence, OH
National Provider Identifier
1134200082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 5354
- Practice address
- 6505 Rockside Rd
Suite 120
Independence, OH 44131-2342 - Phone
- (216) 973-8052
- Fax
- (216) 524-9823
- NPI assigned
- Oct 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 5354 | OH | Primary |
Addresses
Primary practice location
6505 Rockside Rd
Suite 120
Independence, OH 44131-2342
Mailing address
6505 Rockside Rd
Suite 120
Independence, OH 44131-2342
Phone (216) 973-8052
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5354 | OH | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS Chernin & Egan Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Independence, OH
- NPI 1457466880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191542400000",
"number": "1134200082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6505 ROCKSIDE RD",
"address_2": "SUITE 120",
"city": "INDEPENDENCE",
"state": "OH",
"postal_code": "441312342",
"telephone_number": "216-973-8052",
"fax_number": "216-524-9823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6505 ROCKSIDE RD",
"address_2": "SUITE 120",
"city": "INDEPENDENCE",
"state": "OH",
"postal_code": "441312342",
"telephone_number": "216-973-8052",
"fax_number": "216-524-9823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SATOLA",
"first_name": "KELLY",
"middle_name": "J",
"credential": "MS, RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2007-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "5354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Independence, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.