Active NPI
Richard Santucci, RD
- Registered Dietitian
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD.08248
- Practice address
- 3874 Paxton Ave Unit 9647
Cincinnati, OH 45209-7526 - Phone
- (502) 530-4812
- NPI assigned
- Jan 13, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 3825-29 | WI | |
| Registered Dietitian | 133V00000X | 4907 | MN | |
| Registered Dietitian | 133V00000X | 2712 | KS | |
| Registered Dietitian | 133V00000X | 159679 | AK | |
| Registered Dietitian | 133V00000X | 0813 | SD | |
| Registered Dietitian | 133V00000X | 128730 | IA | |
| Registered Dietitian | 133V00000X | 2625 | MS | |
| Registered Dietitian | 133V00000X | LD.08248 | OH | Primary |
Addresses
Primary practice location
3874 Paxton Ave Unit 9647
Cincinnati, OH 45209-7526
Mailing address
2620 Elm Hill Pike
Nashville, TN 37214-3100
Phone (615) 425-4200
Other practice location 1
555 Race St
Cincinnati, OH 45202-2347
Phone (855) 699-6937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, TN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
207 Traditions Blvd
Bowling Green, KY 42103-7957
Phone (270) 901-3412
3874 Paxton Ave
Unit 9647
Cincinnati, OH 45209-7526
Phone (270) 901-3412
892 Windsor Green Blvd
Goodlettsville, TN 37072-2136
Phone (270) 901-3412
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 159679 | AK | MD | Registered Dietitian |
| 128730 | IA | MD | Registered Dietitian |
| 2712 | KS | MD | Registered Dietitian |
| 2625 | MS | MD | Registered Dietitian |
| LD.08248 | OH | MD | Registered Dietitian |
| 0813 | SD | MD | Registered Dietitian |
| 3825-29 | WI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MNT, Inc. | Dietitian, Registered | Current | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Locations
3874 Paxton Ave
Unit 9647
Cincinnati, OH 45209
Phone (502) 530-4812
1994 Gallatin Pike N
Ste 30
Madison, TN 37115
Organizations & group practices 2
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": "1294876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732060800000",
"number": "1407151012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 ELM HILL PIKE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372143100",
"telephone_number": "615-425-4200",
"fax_number": "800-546-2104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3874 PAXTON AVE UNIT 9647",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452097526",
"telephone_number": "502-530-4812"
}
],
"practiceLocations": [
{
"address_1": "555 Race St",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452022347",
"country_code": "US",
"telephone_number": "855-699-6937",
"fax_number": "800-546-2104",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANTUCCI",
"first_name": "RICHARD",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-13",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "3825-29",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "4907",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KS",
"license": "2712",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AK",
"license": "159679",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "SD",
"license": "0813",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IA",
"license": "128730",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MS",
"license": "2625",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "LD.08248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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; Order and Referring.
- 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.