Individual provider Active NPI

Emily Doudna, RD

  • Registered Dietitian
  • Columbus, OH
National Provider Identifier
1194244632
Registry record updated Dec 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD.8109 Issued in OH
Practice address
1699 W Mound St
Columbus, OH 43223-1809
Phone
(614) 278-3130
NPI assigned
Sep 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD.8109 OH Primary

Addresses

Primary practice location

1699 W Mound St
Columbus, OH 43223-1809

Mailing address

3567 Magnolia St
Grove City, OH 43123-9251

Other names 1

  • Emily Holbrook Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171222000797 OH Practitioner - Registered Dietitian Or Nutrition Professional 6406114362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Ohio State University College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Ohio Nutrition Center IncGroup PAC ID 8426081357, 13 clinicians

Practice addresses (Care Compare)

648 Taylor Rd
Gahanna, OH 43230-3202
Phone (614) 864-7225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LD.8109OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Nutrition Center, Inc Dietitian, Registered Current Accepting new patients
Central Ohio Nutrition Center Dietitian, Registered CurrentSince Jun 24, 2020 Accepting new patients
Central Ohio Nutrition Center, Inc Dietitian, Registered PastSince Jun 24, 2020 Accepting new patients

Locations

1904 Bethel Rd
Columbus, OH 43220
Phone (614) 451-1910

648 Taylor Rd
Gahanna, OH 43230
Phone (614) 864-7225

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513123200000",
    "number": "1194244632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3567 MAGNOLIA ST",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431239251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1699 W MOUND ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432231809",
            "telephone_number": "614-278-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUDNA",
        "first_name": "EMILY",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-15",
        "last_updated": "2017-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD.8109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "HOLBROOK",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.