Nancy Ann Azar, MS, RD, LD
Individual provider Active NPI Registered Dietitian · Cuyahoga Falls, OH
NPI 1295801462 · NPPES record last updated Jan 27, 2020
Key facts
- NPI
- 1295801462
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- LD. 4761 (OH)
- Practice address
- 1900 23Rd St
Cuyahoga Falls, OH 44223-1404 - Phone
- (330) 297-7055
- NPI assigned
- Nov 28, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Leslie Pristas DO LLC
Practice addresses (Care Compare)
18660 Bagley Rd
Suite 201
Cleveland, OH 44130-3483
Phone (440) 368-1117
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060127000546 | OH | Practitioner - Registered Dietitian Or Nutrition Professional | 2365456480 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD. 4761 | OH | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leslie Pristas DO LLC | Current |
Accepting new patients | |
| Eon Care Services, LLC | Current |
Accepting new patients | |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Locations
18660 Bagley Rd
Bldg 1
Middleburg Heights, OH 44130
Phone (440) 234-8746
6469 Frank Ave NW
North Canton, OH 44720
Phone (440) 368-1117
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD. 4761 | OH | Yes |
Addresses
Primary practice location
1900 23Rd St
Cuyahoga Falls, OH 44223-1404
Mailing address
200 Weatherstone CT
Copley, OH 44321-3227
Phone (330) 666-8516
Other providers in Cuyahoga Falls, OH
- Irene Ziebih Atanga
- Athletico LTD
- Michael K Atta
- Erin Austria
- Azalea Institute-Center for MFT & LPC Advancement, LLC
- Huda Abdul Aziz
- Massood R Babai
- Kristin Therese Baclawski
- Taylor Nicole Bacon
- Michael David Bage
All providers in Cuyahoga Falls, OH · Registered Dietitian in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.