Individual provider Active NPI

Nancy B Carrothers, LD/RD

  • Registered Dietitian
  • Springfield, OH
National Provider Identifier
1316223878
Registry record updated Oct 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2053 Issued in OH
Practice address
3435 Troy Rd
Springfield, OH 45504-4335
Phone
(937) 342-8800
Fax
(937) 342-8805
NPI assigned
Oct 28, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2011

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 2053 OH Primary

Addresses

Primary practice location

3435 Troy Rd
Springfield, OH 45504-4335

Mailing address

6653 Apache Cir
Cincinnati, OH 45243-2403
Phone (513) 833-4551

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
2053OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetic Solutions, LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319760000000",
    "number": "1316223878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6653 APACHE CIR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452432403",
            "telephone_number": "513-833-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 TROY RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455044335",
            "telephone_number": "937-342-8800",
            "fax_number": "937-342-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROTHERS",
        "first_name": "NANCY",
        "middle_name": "B",
        "credential": "LD/RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-28",
        "last_updated": "2011-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "2053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; 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.