Active NPI
Kylene Beck, RD,LD
- Registered Dietitian
- Marion, OH
National Provider Identifier
1255769956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD 5685
- Practice address
- 1000 McKinley Park Dr
Marion, OH 43302-6399 - Phone
- (740) 383-8979
- Fax
- (740) 383-2015
- NPI assigned
- Oct 16, 2013
- Last updated
- Oct 16, 2013
- 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 | LD 5685 | OH | Primary |
Addresses
Primary practice location
1000 McKinley Park Dr
Marion, OH 43302-6399
Mailing address
6884 County Road 40
Mount Gilead, OH 43338-9725
Phone (419) 545-1637
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
| License | State | Type | Specialty |
|---|---|---|---|
| LD 5685 | OH | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381881600000",
"number": "1255769956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6884 COUNTY ROAD 40",
"city": "MOUNT GILEAD",
"state": "OH",
"postal_code": "433389725",
"telephone_number": "419-545-1637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 MCKINLEY PARK DR",
"city": "MARION",
"state": "OH",
"postal_code": "433026399",
"telephone_number": "740-383-8979",
"fax_number": "740-383-2015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECK",
"first_name": "KYLENE",
"credential": "RD,LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-16",
"last_updated": "2013-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "LD 5685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.