Individual provider Active NPI

Patricia Jan Becker, MS,RD,CNSC

  • Pediatric Nutrition Registered Dietitian
  • Cincinnati, OH
National Provider Identifier
1184903734
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X
License
LD7357 Issued in OH
Practice address
9030 Montgomery Rd
Soma Wellness
Cincinnati, OH 45242-7741
Phone
(513) 505-6800
NPI assigned
Aug 15, 2011
Last updated
May 31, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X L002537 NC
Pediatric Nutrition Registered Dietitian 133VN1004X LD7357 OH Primary

Addresses

Primary practice location

9030 Montgomery Rd
Soma Wellness
Cincinnati, OH 45242-7741

Mailing address

9030 Montgomery Rd
Soma Wellness
Cincinnati, OH 45242-7741
Phone (513) 505-6800

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7357OHMDClinical Psychologist
L002537NCMDRegistered Dietitian
LD7357OHMDPediatric Nutrition Registered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1184903734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9030 MONTGOMERY RD",
            "address_2": "SOMA WELLNESS",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452427741",
            "telephone_number": "513-505-6800",
            "fax_number": "513-297-9429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9030 MONTGOMERY RD",
            "address_2": "SOMA WELLNESS",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452427741",
            "telephone_number": "513-505-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "PATRICIA",
        "middle_name": "JAN",
        "credential": "MS,RD,CNSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-15",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L002537",
            "primary": false
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "OH",
            "license": "LD7357",
            "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 May 31, 2016; 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.