Individual provider Active NPI

Zedingil Tadesse Tsegaye

  • Registered Dietitian
  • Galion, OH
National Provider Identifier
1154873966
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
7700 Issued in OH
Practice address
269 Portland Way S
Galion, OH 44833-2312
Phone
(419) 468-0674
NPI assigned
Oct 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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 7700 OH Primary

Addresses

Primary practice location

269 Portland Way S
Galion, OH 44833-2312

Mailing address

269 Portland Way S
Galion, OH 44833-2312
Phone (419) 468-0674

Other names 1

  • Zedingil Tsegaye Tadesse Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220912001357 OH Practitioner - Registered Dietitian Or Nutrition Professional 1254716244 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7700OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Heart of Ohio Family Health Centers CurrentSince May 2, 2022 Accepting new patients
Heart of Ohio Family Health Centers CurrentSince May 2, 2022 Accepting new patients
Heart of Ohio Family Health Centers Current Accepting new patients

Locations

3601 Gender Rd
Canal Wnchstr, OH 43110
Phone (614) 235-5555

5000 E Main St
Whitehall, OH 43213
Phone (614) 235-5555

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1154873966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 PORTLAND WAY S",
            "city": "GALION",
            "state": "OH",
            "postal_code": "448332312",
            "telephone_number": "419-468-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 PORTLAND WAY S",
            "city": "GALION",
            "state": "OH",
            "postal_code": "448332312",
            "telephone_number": "419-468-0674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSEGAYE",
        "first_name": "ZEDINGIL",
        "middle_name": "TADESSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "7700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZEDINGIL",
            "last_name": "TADESSE",
            "middle_name": "TSEGAYE",
            "credential": "RDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Galion, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.