Tracey L Kubik

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

914407 Issued in OH

Practice address

5202 Bethel Reed Park
Suite 100
Columbus, OH 43220-1818

Phone

(614) 447-9495

Fax

(614) 447-9163

NPI assigned

Mar 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1467586370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5202 BETHEL REED PARK",
            "address_2": "SUITE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432201818",
            "telephone_number": "614-447-9495",
            "fax_number": "614-447-9163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5202 BETHEL REED PARK",
            "address_2": "SUITE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432201818",
            "telephone_number": "614-447-9495",
            "fax_number": "614-447-9163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBIK",
        "first_name": "TRACEY",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "914407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Ksiazk, LISW
• Nicole Leigh Ksiazkiewicz, NURSE PRACTITIONER
• KTM Support Group, LLC
• Tina V. Kuba, A.P.R.N.
• Erika Charlotte Kube, M.D.
• June Kucalaba
• Guilherme Kuceki, MD
• Rachel Ann Kucharski, CNP
• Jean E. Kucheman, LSW
• Gregg Kuck, PHARM.D.

• Registered Dietitian in Columbus, OH
• Providers in Columbus, OH by specialty
• Registered Dietitian in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.