Active NPI
Abigail Leeann Trevor, DTR
- Registered Dietetic Technician
- Marion, OH
National Provider Identifier
1144860941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietetic Technician
- License
- 86144511
- Practice address
- 181 S Main St
Marion, OH 43302-3964 - Phone
- (740) 383-5533
- NPI assigned
- Jan 9, 2020
- 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 Dietetic Technician | 136A00000X | 86144511 | OH | Primary |
Addresses
Primary practice location
181 S Main St
Marion, OH 43302-3964
Mailing address
1185 Lake Blvd Apt 8
Marion, OH 43302-6691
Phone (330) 843-4897
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 |
|---|---|---|---|
| 86144511 | OH | MD | Registered Dietetic Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578528000000",
"number": "1144860941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1185 LAKE BLVD APT 8",
"city": "MARION",
"state": "OH",
"postal_code": "433026691",
"telephone_number": "330-843-4897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 S MAIN ST",
"city": "MARION",
"state": "OH",
"postal_code": "433023964",
"telephone_number": "740-383-5533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREVOR",
"first_name": "ABIGAIL",
"middle_name": "LEEANN",
"credential": "DTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-09",
"last_updated": "2020-01-09",
"certification_date": "2020-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "136A00000X",
"taxonomy_group": "",
"desc": "Dietetic Technician, Registered",
"state": "OH",
"license": "86144511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.