Ka Wellness and Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

KA WELLNESS AND NUTRITION LLC

Practice address

2370 Southeast Blvd
Salem, OH 44460-3418

Phone

(330) 333-8990

Fax

(330) 595-4727

NPI assigned

Feb 7, 2023

Organization subpart

No

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

Authorized official

Name

Raun D Skyrm

Title

Administrator

Phone

(330) 256-0533

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kayla Renee Aluise, RD, CSO, LD

  • Oncology Nutrition Registered Dietitian
  • Youngstown, OH
  • NPI 1609403492

  OH

  Medicare reassignment NPD
• Heather Robinson, RDN

  • Registered Dietitian
  • Ashtabula, OH
  • NPI 1417523119

  Dietitian, Registered, OH

  Medicare reassignment NPD
• Janet Lynn Aliff, R.D. L.D. C.D.E.

  • Registered Dietitian
  • Youngstown, OH
  • NPI 1568667285

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1174229587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13250 OLD HICKORY CT",
            "city": "NORTH LIMA",
            "state": "OH",
            "postal_code": "444528527",
            "telephone_number": "330-256-0533",
            "fax_number": "330-595-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 SOUTHEAST BLVD",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444603418",
            "telephone_number": "330-333-8990",
            "fax_number": "330-595-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KA WELLNESS AND NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "SKYRM",
        "authorized_official_first_name": "RAUN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "330-256-0533"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND NPI",
            "identifier": "1609403492",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "RAUNS330@GMAIL.COM",
            "affiliation": "N",
            "address_1": "2370 Southeast Blvd",
            "city": "Salem",
            "state": "OH",
            "country_code": "US",
            "postal_code": "444603418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Marcus John Julius, M.D.
• Rickie Lynn Kelley, PTA
• Chris Kemen, MD
• Christa Kempinski, APRN
• Robert E Kidder, M.D.
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• All providers in Salem, OH
• Registered Dietitian in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.