Individual provider Active NPI

Patricia Ann Lamantia, R.D., L.D.

  • Registered Dietitian
  • Columbus, OH
National Provider Identifier
1487925285
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
6884 Issued in OH
Practice address
5340 E Main St
Suite 111
Columbus, OH 43213-2574
Phone
(614) 864-7225
Fax
(614) 864-2207
NPI assigned
Jan 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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 6884 OH Primary

Addresses

Primary practice location

5340 E Main St
Suite 111
Columbus, OH 43213-2574

Mailing address

5340 E Main St
Suite 111
Columbus, OH 43213-2574
Phone (614) 864-7225

Other names 1

  • Patricia Ann Quackenbush Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6884OHMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1487925285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 E MAIN ST",
            "address_2": "SUITE 111",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132574",
            "telephone_number": "614-864-7225",
            "fax_number": "614-864-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 E MAIN ST",
            "address_2": "SUITE 111",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132574",
            "telephone_number": "614-864-7225",
            "fax_number": "614-864-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMANTIA",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "R.D., L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "6884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "QUACKENBUSH",
            "middle_name": "ANN",
            "credential": "R.D., L.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.