Active NPI
Danielle Nies, R.D.N.
- Registered Dietitian
- Conneaut, OH
National Provider Identifier
1376936195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 5513
- Practice address
- 158 W Main Rd
Conneaut, OH 44030-2039 - Phone
- (440) 593-0371
- Fax
- (440) 593-6710
- NPI assigned
- Mar 18, 2015
- Last updated
- Mar 18, 2015
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 5513 | OH | Primary |
Addresses
Primary practice location
158 W Main Rd
Conneaut, OH 44030-2039
Mailing address
158 W Main Rd
Conneaut, OH 44030-2039
Phone (440) 593-0371
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 |
|---|---|---|---|
| 5513 | OH | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426636800000",
"number": "1376936195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "158 W MAIN RD",
"city": "CONNEAUT",
"state": "OH",
"postal_code": "440302039",
"telephone_number": "440-593-0371",
"fax_number": "440-593-6710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "158 W MAIN RD",
"city": "CONNEAUT",
"state": "OH",
"postal_code": "440302039",
"telephone_number": "440-593-0371",
"fax_number": "440-593-6710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIES",
"first_name": "DANIELLE",
"credential": "R.D.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-18",
"last_updated": "2015-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "5513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conneaut, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.