Individual provider Active NPI

Deborah Diane Fellabaum, RDN, LD

  • Registered Dietitian
  • Medina, OH
National Provider Identifier
1225942287
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1516 Issued in OH
Practice address
566 Falling Oaks Dr
Medina, OH 44256-2718
Phone
(330) 242-2853
NPI assigned
Sep 29, 2026
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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 1516 OH Primary

Addresses

Primary practice location

566 Falling Oaks Dr
Medina, OH 44256-2718

Mailing address

566 Falling Oaks Dr
Medina, OH 44256-2718
Phone (330) 242-2853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1225942287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 FALLING OAKS DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562718",
            "telephone_number": "330-242-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 FALLING OAKS DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562718",
            "telephone_number": "330-242-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELLABAUM",
        "first_name": "DEBORAH",
        "middle_name": "DIANE",
        "credential": "RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-29",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "1516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.