Active NPI
Maria C Nicholson, RD,LD,CCRC
- Registered Dietitian
- Cincinnati, OH
National Provider Identifier
1184865651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD 1233
- Practice address
- 3219 Clifton Avenue
Suite 325
Cincinnati, OH 45220 - Phone
- (513) 861-0800
- Fax
- (513) 861-5111
- NPI assigned
- Mar 13, 2009
- 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 | LD 1233 | OH | Primary |
Addresses
Primary practice location
3219 Clifton Avenue
Suite 325
Cincinnati, OH 45220
Mailing address
3219 Clifton Avenue
Suite 325
Cincinnati, OH 45220
Phone (513) 861-0800
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD 1233 | OH | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236902400000",
"number": "1184865651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3219 CLIFTON AVENUE",
"address_2": "SUITE 325",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45220",
"telephone_number": "513-861-0800",
"fax_number": "513-861-5111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3219 CLIFTON AVENUE",
"address_2": "SUITE 325",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45220",
"telephone_number": "513-861-0800",
"fax_number": "513-861-5111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLSON",
"first_name": "MARIA",
"middle_name": "C",
"credential": "RD,LD,CCRC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-13",
"last_updated": "2009-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "LD 1233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.