Anna Nikol Kippen, MS, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86038438 Issued in OH

Practice address

1950 Richmond Rd
Lyndhurst, OH 44124-3719

Phone

(216) 647-5872

NPI assigned

Aug 30, 2018

Last updated

Oct 25, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1174005672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "487 EAGLE TRCE",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441246113",
            "telephone_number": "216-647-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 RICHMOND RD",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441243719",
            "telephone_number": "216-647-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIPPEN",
        "first_name": "ANNA",
        "middle_name": "NIKOL",
        "credential": "MS, RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "86038438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Lyndhurst, OH
• Providers in Lyndhurst, OH by specialty
• Registered Dietitian in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.