Active NPI
Jessica A. Vancleave, RD, LDN
- Registered Dietitian
- Columbus, OH
National Provider Identifier
1508278342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD7991
- Practice address
- 2050 Kenny Rd
Columbus, OH 43221-3502 - Phone
- (614) 293-7087
- Fax
- (614) 293-4280
- NPI assigned
- May 28, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 8735304 | TN | |
| Registered Dietitian | 133V00000X | LD7991 | OH | Primary |
Addresses
Primary practice location
2050 Kenny Rd
Columbus, OH 43221-3502
Mailing address
700 Ackerman Rd
Suite 570
Columbus, OH 43202-1559
Phone (614) 293-7087
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
| License | State | Type | Specialty |
|---|---|---|---|
| LD7991 | OH | MD | Registered Dietitian |
| 8735304 | TN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iris Nutrition Group | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482364800000",
"number": "1508278342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 ACKERMAN RD",
"address_2": "SUITE 570",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432021559",
"telephone_number": "614-293-7087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 KENNY RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432213502",
"telephone_number": "614-293-7087",
"fax_number": "614-293-4280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANCLEAVE",
"first_name": "JESSICA",
"middle_name": "A.",
"credential": "RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-28",
"last_updated": "2016-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TN",
"license": "8735304",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "LD7991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Dec 22, 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.