Maureen R Latanick, PHD, RD, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1235 Issued in OH

Practice address

37 E Wilson Bridge Rd
Suite 270
Worthington, OH 43085-2354

Phone

(614) 396-6730

Fax

(614) 396-6734

NPI assigned

Dec 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10771/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349395200000",
    "number": "1225197742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 WILBER AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151314",
            "telephone_number": "614-725-3248",
            "fax_number": "614-396-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 E WILSON BRIDGE RD",
            "address_2": "SUITE 270",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852354",
            "telephone_number": "614-396-6730",
            "fax_number": "614-396-6734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATANICK",
        "first_name": "MAUREEN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PHD, RD, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2012-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "1235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "63-00016",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BLUE SHIELD",
            "identifier": "000000113720",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4398510",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yania Langford
• Jan Evans Lantz, LISW
• Nora Elia Lara Sanchez
• Ethan D Larned
• Grayson M Lassiter
• Victoria Lathrop
• Robin Latio
• Suzanne Marie Latorre
• Katherine Lau
• Laurie L Laughlin

• Registered Dietitian in Worthington, OH
• Providers in Worthington, OH by specialty
• Registered Dietitian in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.