Individual provider Active NPI

Brooke Starkoff, PHD, RDN, LDN

  • Registered Dietitian
  • Powell, OH
National Provider Identifier
1447093091
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD.09653 Issued in OH
Practice address
107 Trail Edge Cir
Powell, OH 43065-7912
Phone
(216) 408-2238
NPI assigned
Jun 13, 2024
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 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.09653 OH Primary

Addresses

Primary practice location

107 Trail Edge Cir
Powell, OH 43065-7912

Mailing address

107 Trail Edge Cir
Powell, OH 43065-7912
Phone (216) 408-2238

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LD.09653OHMDRegistered Dietitian

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1447093091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 TRAIL EDGE CIR",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430657912",
            "telephone_number": "216-408-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 TRAIL EDGE CIR",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430657912",
            "telephone_number": "216-408-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARKOFF",
        "first_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "PHD, RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD.09653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.