Active NPI
Doreen Iacona
- Registered Dietitian
- Painesville, OH
National Provider Identifier
1346870375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 08702
- Practice address
- 5781 Taylor Rd
Painesville, OH 44077-9155 - Phone
- (440) 476-7871
- NPI assigned
- Jan 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 08702 | OH | Primary |
Addresses
Primary practice location
5781 Taylor Rd
Painesville, OH 44077-9155
Mailing address
5781 Taylor Rd
Painesville, OH 44077-9155
Phone (440) 476-7871
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
| License | State | Type | Specialty |
|---|---|---|---|
| 08702 | OH | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WW Clinic PLLC | Dietitian, Registered | Past | Accepting new patients |
| Cloud Health Medical Group, P.a. | Past | Accepting new patients | |
| Cloud Health Medical Group of California, P.C. | Past | Accepting new patients |
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 and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579219200000",
"number": "1346870375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5781 TAYLOR RD",
"city": "PAINESVILLE",
"state": "OH",
"postal_code": "440779155",
"telephone_number": "440-476-7871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5781 TAYLOR RD",
"city": "PAINESVILLE",
"state": "OH",
"postal_code": "440779155",
"telephone_number": "440-476-7871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IACONA",
"first_name": "DOREEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-17",
"last_updated": "2020-01-17",
"certification_date": "2020-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "08702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Painesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.