Individual provider Active NPI

Christine Carozza Carroll, MS RD LD CDE

  • Registered Dietitian
  • Mayfield Heights, OH
National Provider Identifier
1285722132
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
674960 Issued in OH
Practice address
6780 Mayfield Rd
North Champus
Mayfield Heights, OH 44124
Phone
(440) 312-8672
Fax
(440) 312-5156
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD2861 OH
Registered Dietitian 133V00000X 674960 OH Primary
Diabetes Educator Registered Nurse 163WD0400X 09610079 OH

Addresses

Primary practice location

6780 Mayfield Rd
North Champus
Mayfield Heights, OH 44124

Mailing address

3749 Whistlewood Way
Perry Village, OH 44081-9747
Phone (440) 259-5220

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
674960OHMDRegistered Dietitian
LD2861OHMDRegistered Dietitian
09610079OHMDDiabetes Educator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1285722132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3749 WHISTLEWOOD WAY",
            "city": "PERRY VILLAGE",
            "state": "OH",
            "postal_code": "440819747",
            "telephone_number": "440-259-5220",
            "fax_number": "440-312-5156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6780 MAYFIELD RD",
            "address_2": "NORTH CHAMPUS",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "44124",
            "telephone_number": "440-312-8672",
            "fax_number": "440-312-5156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "CHRISTINE",
        "middle_name": "CAROZZA",
        "name_prefix": "Mrs.",
        "credential": "MS RD LD CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD2861",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "674960",
            "primary": true
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "OH",
            "license": "09610079",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.