Active NPI
Nancy Lee Schepka, RD, LD
- Registered Dietitian
- Boardman, OH
National Provider Identifier
1174819940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 4636
- Practice address
- 833 Boardman Canfield Rd
Suite #102
Boardman, OH 44512-4236 - Phone
- (330) 729-1320
- Fax
- (330) 729-1320
- NPI assigned
- Jun 21, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 Dietitian | 133V00000X | 4636 | OH | Primary |
Addresses
Primary practice location
833 Boardman Canfield Rd
Suite #102
Boardman, OH 44512-4236
Mailing address
833 Boardman Canfield Rd
Suite #102
Boardman, OH 44512-4236
Phone (330) 729-1320
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 |
|---|---|---|---|
| 4636 | OH | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308614400000",
"number": "1174819940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 BOARDMAN CANFIELD RD",
"address_2": "SUITE #102",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445124236",
"telephone_number": "330-729-1320",
"fax_number": "330-729-1320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 BOARDMAN CANFIELD RD",
"address_2": "SUITE #102",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445124236",
"telephone_number": "330-729-1320",
"fax_number": "330-729-1320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHEPKA",
"first_name": "NANCY",
"middle_name": "LEE",
"credential": "RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-21",
"last_updated": "2011-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "4636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boardman, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.