Individual provider Active NPI

James Caleb Horton III, RD

  • Registered Dietitian
  • Cleveland, OH
National Provider Identifier
1386409175
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD.8142 Issued in OH
Practice address
3164 W 138TH St
Cleveland, OH 44111-1536
Phone
(216) 645-0676
NPI assigned
Feb 20, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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 LD.8142 OH Primary

Addresses

Primary practice location

3164 W 138TH St
Cleveland, OH 44111-1536

Mailing address

3164 W 138TH St
Cleveland, OH 44111-1536
Phone (216) 645-0676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, AR, DC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250416001351 WI Practitioner - Registered Dietitian Or Nutrition Professional 9436679933
I20250514000085 AR Practitioner - Registered Dietitian Or Nutrition Professional 9436679933
I20250523001929 DC Practitioner - Registered Dietitian Or Nutrition Professional 9436679933

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1710 Keller Pkwy
Keller, TX 76248-3749

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LD.8142OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nourish, Inc. Dietitian, Registered 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": "1708387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1386409175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3164 W 138TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441111536",
            "telephone_number": "216-645-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3164 W 138TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441111536",
            "telephone_number": "216-645-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORTON",
        "first_name": "JAMES",
        "middle_name": "CALEB",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD.8142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.