Individual provider Active NPI

Ann A. Burk, R.D.,L.D.

  • Registered Dietitian
  • Columbus, OH
National Provider Identifier
1295926988
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD289 Issued in OH
Practice address
1250 Dearborn Dr
Columbus, OH 43085-4767
Phone
(614) 840-3500
Fax
(614) 840-3510
NPI assigned
Aug 7, 2007
Last updated
Aug 7, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD289 OH Primary

Addresses

Primary practice location

1250 Dearborn Dr
Columbus, OH 43085-4767

Mailing address

1250 Dearborn Dr
Columbus, OH 43085-4767
Phone (614) 840-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080109000577 OH Practitioner - Registered Dietitian Or Nutrition Professional 9830279397 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LD289OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Worthington Industries Medical Center, Inc. CurrentSince Apr 1, 2014 Accepting new patients

Locations

1250 Dearborn Dr
Worthington, OH 43085
Phone (614) 392-2732

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.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186444800000",
    "number": "1295926988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 DEARBORN DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "430854767",
            "telephone_number": "614-840-3500",
            "fax_number": "614-840-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 DEARBORN DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "430854767",
            "telephone_number": "614-840-3500",
            "fax_number": "614-840-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURK",
        "first_name": "ANN",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "R.D.,L.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.