Active NPI
Kathryn Polito, RD
- Registered Dietitian
- Boardman, OH
National Provider Identifier
1255194510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD09343
- Practice address
- 940 Windham CT
Boardman, OH 44512-5060 - Phone
- (330) 256-0533
- Fax
- (330) 595-4727
- NPI assigned
- Jan 31, 2024
- Last updated
- Jan 31, 2024
- Sex
- Female
- Sole proprietor
- No
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 | LD09343 | OH | Primary |
Addresses
Primary practice location
940 Windham CT
Boardman, OH 44512-5060
Mailing address
358 Birch St
Akron, OH 44301-2602
Phone (330) 256-0533
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD09343 | OH | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Valley Plastic Surgery | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Hudson, OH
- NPI 1558484386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706659200000",
"number": "1255194510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "358 BIRCH ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443012602",
"telephone_number": "330-256-0533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 WINDHAM CT",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445125060",
"telephone_number": "330-256-0533",
"fax_number": "330-595-4727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLITO",
"first_name": "KATHRYN",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-31",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "LD09343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boardman, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.