Individual provider Active NPI

Lydia Deweese, RD

  • Registered Dietitian
  • Columbus, OH
National Provider Identifier
1225802663
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD.10273 Issued in OH
Practice address
895 Northbridge LN
Columbus, OH 43235-1749
Phone
(614) 312-7993
NPI assigned
Nov 7, 2023
Last updated
Dec 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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.10273 OH Primary

Addresses

Primary practice location

895 Northbridge LN
Columbus, OH 43235-1749

Mailing address

895 Northbridge LN
Columbus, OH 43235-1749

Other practice location 1

8001 Ravines Edge Ct
Columbus, OH 43235-5423
Phone (888) 364-5977

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

LicenseStateTypeSpecialty
LD.10273OHMDRegistered Dietitian
10273OHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1225802663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 NORTHBRIDGE LN",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432351749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 NORTHBRIDGE LN",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432351749",
            "telephone_number": "614-312-7993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8001 Ravines Edge Ct",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432355423",
            "country_code": "US",
            "telephone_number": "888-364-5977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEWEESE",
        "first_name": "LYDIA",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-07",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD.10273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 18, 2024; 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.