Christa Le, RD, CSR, LD
Individual provider Active NPI Renal Nutrition Registered Dietitian · Plain City, OH
NPI 1245070853 · NPPES record last updated May 30, 2024
Key facts
- NPI
- 1245070853
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Renal Nutrition Registered Dietitian 133VN1005X
- License
- LD.6211 (OH)
- Practice address
- 10533 Hazelnut Dr
Plain City, OH 43064-2565 - Phone
- (706) 627-6292
- NPI assigned
- May 30, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
19 W 24TH St
FL 4
New York, NY 10010-3239
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260602003817 | OH | Practitioner - Registered Dietitian Or Nutrition Professional | 6103397914 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD.6211 | OH | MD | Renal Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christa Le Nutrition LLC | Nutrition, Renal | Current |
Accepting new patients |
| Marjorie Nolan Cohn LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Renal Nutrition Registered Dietitian | 133VN1005X | LD.6211 | OH | Yes |
Addresses
Primary practice location
10533 Hazelnut Dr
Plain City, OH 43064-2565
Mailing address
10533 Hazelnut Dr
Plain City, OH 43064-2565
Phone (706) 627-6292
Other providers in Plain City, OH
- Karen Sue Kauffman
- Scarla Kauffman
- Thomas Kellett
- Hee Kim
- David H Lamberjack
- Love and Caring
- Jeanelle Rene Lucas
- Lucid Diagnostics Labs LLC
- M. C. Mobility Systems Inc.
- Rachel Martin
All providers in Plain City, OH · Renal Nutrition Registered Dietitian in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.