Individual provider Active NPI

Allison Porter, RDN, LD

  • Registered Dietitian
  • Dover, OH
National Provider Identifier
1336685866
Registry record updated Jan 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
7286 Issued in OH
Practice address
1225 E 2ND St
Dover, OH 44622-1268
Phone
(330) 204-8420
NPI assigned
Jan 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2017

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 7286 OH Primary

Addresses

Primary practice location

1225 E 2ND St
Dover, OH 44622-1268

Mailing address

1225 E 2ND St
Dover, OH 44622-1268
Phone (330) 204-8420

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230301001561 OH Practitioner - Registered Dietitian Or Nutrition Professional 3476926056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Union Hospital AssociationGroup PAC ID 0648177725, 16 clinicians

Practice addresses (Care Compare)

659 Boulevard St
Dover, OH 44622-2026
Phone (330) 343-3311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7286OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Union Hospital Association CurrentSince Jan 16, 2023 Accepting new patients
The Union Hospital Association CurrentSince Jan 16, 2023 Accepting new patients
Lyfe Counseling LLC Dietitian, Registered Past Accepting new patients

Locations

659 Boulevard St
Dover, OH 44622
Phone (330) 343-3311

Organizations & group practices 3

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": "1483833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483833600000",
    "number": "1336685866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 E 2ND ST",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446221268",
            "telephone_number": "330-204-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 E 2ND ST",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446221268",
            "telephone_number": "330-204-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "ALLISON",
        "name_prefix": "Mrs.",
        "credential": "RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-08",
        "last_updated": "2017-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "7286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.