Individual provider Active NPI

Bethany Michelle Rose, RD, CSR, LD

  • Renal Nutrition Registered Dietitian
  • Dayton, OH
National Provider Identifier
1285241166
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Renal Nutrition Registered DietitianTaxonomy code 133VN1005X
License
LD.10377 Issued in OH
Practice address
5721 Bigger Rd
Dayton, OH 45440-2752
Phone
(270) 723-2930
NPI assigned
Sep 25, 2020
Last updated
Mar 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 264496 KY
Renal Nutrition Registered Dietitian 133VN1005X LD.10377 OH Primary

Addresses

Primary practice location

5721 Bigger Rd
Dayton, OH 45440-2752

Mailing address

2529 Valais CT
Dayton, OH 45458-5408
Phone (270) 723-2930

Other names 1

  • Bethany Michelle Meredith Former name

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

LicenseStateTypeSpecialty
264496KYMDRegistered Dietitian
LD.10377OHMDRenal Nutrition Registered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Bio-Medical Applications of Kentucky, Inc. PastSince Sep 1, 2020 Accepting new patients
Bio-Medical Applications of Kentucky, Inc. PastSince Sep 1, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1285241166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2529 VALAIS CT",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454585408",
            "telephone_number": "270-723-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5721 BIGGER RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454402752",
            "telephone_number": "270-723-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "BETHANY",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "RD, CSR, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "264496",
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "OH",
            "license": "LD.10377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "MEREDITH",
            "middle_name": "MICHELLE",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.