Collaborative Diabetes Care, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

COLLABORATIVE DIABETES CARE, LLC

Practice address

4345 Secor Rd
Toledo, OH 43623-4233

Phone

(419) 469-6884

Fax

(888) 363-3695

NPI assigned

Jul 28, 2009

Last updated

Jun 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patricia Ann PizzifredNPI 1720175565

Title

Owner

Phone

(419) 469-6884

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patricia Ann Pizzifred, RPH, CDCES

  • Pharmacist
  • Toledo, OH
  • NPI 1720175565
  NPD Authorized official
• Susan Mildred Fix, RN BS CDE

  • Diabetes Educator Registered Nurse
  • Whitehouse, OH
  • NPI 1750728135
  NPD (past)
• Bridget Marie Ratcliffe, RD, LD, CDE

  • Registered Dietitian
  • Perrysburg, OH
  • NPI 1528241825
  NPD (past)

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1164653937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9440 BUCHER RD",
            "city": "WHITEHOUSE",
            "state": "OH",
            "postal_code": "435719461",
            "telephone_number": "419-304-6784",
            "fax_number": "888-363-3695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4345 SECOR RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234233",
            "telephone_number": "419-469-6884",
            "fax_number": "888-363-3695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE DIABETES CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-28",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A",
        "authorized_official_last_name": "PIZZIFRED",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-469-6884"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayana Coley
• Latoya Coley
• Priscilla Coley
• Rashidah Coley
• Steven Anthony Coley Jr.
• Joan Collar, LISW-S
• Collective Therapy LLC
• Natalie A Colley, LISW
• Belinda Collier
• Denea Collier

• Health Service Clinic/Center in Toledo, OH
• Providers in Toledo, OH by specialty
• Health Service Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.