Organization Active NPI

Mid-Ohio Nutrition Therapy, Inc.

  • Registered Dietitian
  • Gahanna, OH
National Provider Identifier
1508075342
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
5845 Issued in OH
Legal business name
MID-OHIO NUTRITION THERAPY, INC.
Practice address
1080 Beecher Xing N
Gahanna, OH 43230-4557
Phone
(614) 855-2824
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Amber M. Wilson, RD, LD
Title
Owner
Phone
(614) 855-2824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 5845 OH Primary

Addresses

Primary practice location

1080 Beecher Xing N
Gahanna, OH 43230-4557

Mailing address

PO Box 30324
Gahanna, OH 43230-0324

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508075342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30324",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432300324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 BEECHER XING N",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432304557",
            "telephone_number": "614-855-2824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-OHIO NUTRITION THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-855-2824",
        "authorized_official_credential": "RD, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "5845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.