Individual provider Active NPI

Debbie Meri Verkin-Siebert, R.D.,L.D.

  • Pediatric Nutrition Registered Dietitian
  • Genoa, OH
National Provider Identifier
1457517286
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X
License
603 Issued in OH
Practice address
1585 N Martin Williston Rd
Genoa, OH 43430-9451
Phone
(419) 410-7196
NPI assigned
Jul 31, 2008
Last updated
Jul 31, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nutrition Registered Dietitian 133VN1004X 603 OH Primary

Addresses

Primary practice location

1585 N Martin Williston Rd
Genoa, OH 43430-9451

Mailing address

1585 N Martin Williston Rd
Genoa, OH 43430-9451
Phone (419) 410-7196

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

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217462400000",
    "number": "1457517286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 N MARTIN WILLISTON RD",
            "city": "GENOA",
            "state": "OH",
            "postal_code": "434309451",
            "telephone_number": "419-410-7196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 N MARTIN WILLISTON RD",
            "city": "GENOA",
            "state": "OH",
            "postal_code": "434309451",
            "telephone_number": "419-410-7196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERKIN-SIEBERT",
        "first_name": "DEBBIE",
        "middle_name": "MERI",
        "name_prefix": "Mrs.",
        "credential": "R.D.,L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "OH",
            "license": "603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Genoa, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.