Individual provider Active NPI

Dana L Bander, MPH, RD, LD, CDCES

  • Registered Dietitian
  • Warrensville Heights, OH
National Provider Identifier
1205916244
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
RD697491 Issued in OH
Practice address
4180 Warrensville Center Rd BLDG 6TH
Warrensville Heights, OH 44122-7024
Phone
(216) 491-7434
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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 RD697491 OH Primary

Addresses

Primary practice location

4180 Warrensville Center Rd BLDG 6TH
Warrensville Heights, OH 44122-7024

Mailing address

4180 Warrensville Center Rd BLDG 6TH
Warrensville Heights, OH 44122-7024
Phone (216) 491-7434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040218000603 OH Practitioner - Registered Dietitian Or Nutrition Professional 6406741461 Reassigns benefits to 1 organization
I20250211000907 PA Practitioner - Registered Dietitian Or Nutrition Professional 6406741461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
University of California, San Francisco School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eat and Thrive Now LLCGroup PAC ID 5092172585, 2 clinicians

Practice addresses (Care Compare)

23875 Commerce Park
Suite 160
Beachwood, OH 44122-5805
Phone (570) 632-3288

455 Main St
Peckville, PA 18452-2428
Phone (949) 838-7232

Merit-based Incentive Payment System (MIPS)

Final score
84.59 of 100Reported as group
Quality
74.46
Promoting interoperability
99
Improvement activities
40
Cost
75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RD697491OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Eat and Thrive Now LLC Dietitian, Registered CurrentSince Feb 5, 2025 Accepting new patients

Locations

23875 Commerce Park
Ste 160
Beachwood, OH 44122
Phone (216) 556-1810

455 Main St
Peckville, PA 18452
Phone (570) 239-4928

Organizations & group practices 1

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1205916244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4180 WARRENSVILLE CENTER RD BLDG 6TH",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441227024",
            "telephone_number": "216-491-7434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 WARRENSVILLE CENTER RD BLDG 6TH",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441227024",
            "telephone_number": "216-491-7434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDER",
        "first_name": "DANA",
        "middle_name": "L",
        "credential": "MPH, RD, LD, CDCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "RD697491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensville Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; 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.