Active NPI
Karen M. Homan, DIETICIAN
- Nutrition Education Nutritionist
- Celina, OH
National Provider Identifier
1306994488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- License
- 5158
- Practice address
- 950 S Main St
Celina, OH 45822-2413 - Phone
- (567) 890-7127
- Fax
- (419) 586-1614
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | 5158 | OH | Primary |
Addresses
Primary practice location
950 S Main St
Celina, OH 45822-2413
Mailing address
950 S Main St
Celina, OH 45822-2413
Phone (567) 890-7127
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5158 | OH | MD | Nutrition Education Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364515200000",
"number": "1306994488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 S MAIN ST",
"city": "CELINA",
"state": "OH",
"postal_code": "458222413",
"telephone_number": "567-890-7127",
"fax_number": "419-586-1614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 S MAIN ST",
"city": "CELINA",
"state": "OH",
"postal_code": "458222413",
"telephone_number": "567-890-7127",
"fax_number": "419-586-1614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOMAN",
"first_name": "KAREN",
"middle_name": "M.",
"credential": "DIETICIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2013-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "OH",
"license": "5158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Celina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.