Active NPI
Heather Robinson, RDN
- Registered Dietitian
- Ashtabula, OH
National Provider Identifier
1417523119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86118373
- Practice address
- 4200 State Rd
Ashtabula, OH 44004-6017 - Phone
- (440) 998-7515
- NPI assigned
- Jun 2, 2021
- Last updated
- Jun 2, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD.09392 | OH | |
| Registered Dietitian | 133V00000X | 86118373 | OH | Primary |
Addresses
Primary practice location
4200 State Rd
Ashtabula, OH 44004-6017
Mailing address
4200 State Rd
Ashtabula, OH 44004-6017
Phone (440) 998-7515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86118373 | OH | MD | Registered Dietitian |
| LD.09392 | OH | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ka Wellness and Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
718 E 3rd St
Salem, OH 44460
Phone (330) 333-8990
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, 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": "1622592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622592000000",
"number": "1417523119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 STATE RD",
"city": "ASHTABULA",
"state": "OH",
"postal_code": "440046017",
"telephone_number": "440-998-7515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 STATE RD",
"city": "ASHTABULA",
"state": "OH",
"postal_code": "440046017",
"telephone_number": "440-998-7515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "HEATHER",
"name_prefix": "Mrs.",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-02",
"last_updated": "2021-06-02",
"certification_date": "2021-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "LD.09392",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "86118373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashtabula, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.