Individual provider Active NPI

Leah Mako, RD/LD

  • Registered Dietitian
  • Worthington, OH
National Provider Identifier
1306189238
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD6847 Issued in OH
Practice address
445 E Dublin Granville Rd
BLDG N
Worthington, OH 43085-3192
Phone
(614) 293-9204
Fax
(614) 293-9549
NPI assigned
Mar 28, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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 LD6847 OH Primary

Addresses

Primary practice location

445 E Dublin Granville Rd
BLDG N
Worthington, OH 43085-3192

Mailing address

445 E Dublin Granville Rd
BLDG N
Worthington, OH 43085-3192
Phone (614) 293-9204

Other names 1

  • Leah Williams 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
LD6847OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Eating Disorders & Psychotherapy Dietitian, Registered PastSince Oct 23, 2022 Accepting new patients
Emily Program PC PastSince Aug 10, 2013 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364428800000",
    "number": "1306189238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 E DUBLIN GRANVILLE RD",
            "address_2": "BLDG N",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430853192",
            "telephone_number": "614-293-9204",
            "fax_number": "614-293-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 E DUBLIN GRANVILLE RD",
            "address_2": "BLDG N",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430853192",
            "telephone_number": "614-293-9204",
            "fax_number": "614-293-9549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKO",
        "first_name": "LEAH",
        "credential": "RD/LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-28",
        "last_updated": "2013-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD6847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "WILLIAMS",
            "credential": "RD/LD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Worthington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.

Verify at the official NPI Registry.