Active NPI
Lee Ann Dibiase, MS,RD,LD
- Registered Dietitian
- Hudson, OH
National Provider Identifier
1245498187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 5674
- Practice address
- 157 N Oviatt St
Hudson, OH 44236-2907 - Phone
- (330) 612-3910
- NPI assigned
- May 28, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 5674 | OH | Primary |
Addresses
Primary practice location
157 N Oviatt St
Hudson, OH 44236-2907
Mailing address
89 1St St
Suite 204-115
Hudson, OH 44236-5389
Phone (330) 612-3910
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5674 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211932800000",
"number": "1245498187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 1ST ST",
"address_2": "SUITE 204-115",
"city": "HUDSON",
"state": "OH",
"postal_code": "442365389",
"telephone_number": "330-612-3910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 N OVIATT ST",
"city": "HUDSON",
"state": "OH",
"postal_code": "442362907",
"telephone_number": "330-612-3910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIBIASE",
"first_name": "LEE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MS,RD,LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-28",
"last_updated": "2008-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "5674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hudson, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.