Individual provider Active NPI

Tara L Hites

  • Registered Dietitian
  • Toledo, OH
National Provider Identifier
1508632019
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD.10061 Issued in OH
Practice address
3000 Arlington Ave Stop 1062
Toledo, OH 43614-2595
Phone
(419) 383-4585
Fax
(419) 383-3112
NPI assigned
Nov 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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 LD.10061 OH Primary

Addresses

Primary practice location

3000 Arlington Ave Stop 1062
Toledo, OH 43614-2595

Mailing address

3000 Arlington Ave Stop 1108
Toledo, OH 43614-2595

Other practice location 1

3445 Beverly Dr Apt 4
Toledo, OH 43614-4125
Phone (419) 787-9122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260227002566 OH Practitioner - Registered Dietitian Or Nutrition Professional 4587145438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Toledo Physicians LLC 400 clinicians

Practice addresses (Care Compare)

3000 Arlington Ave
Toledo, OH 43614-2595
Phone (419) 383-3578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LD.10061OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
University of Toledo Physicians LLC CurrentSince Feb 18, 2026 Accepting new patients
University of Toledo Physicians LLC CurrentSince Feb 18, 2026 Accepting new patients

Locations

3000 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3556

3000 Arlington Ave
Stop 1108
Toledo, OH 43614

3355 Glendale Ave
Toledo, OH 43614
Phone (419) 383-5614

3000 Arlington Ave
Stop 1062
Toledo, OH 43614
Phone (419) 383-4585

Organizations & group practices 2

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": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1508632019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 ARLINGTON AVE STOP 1108",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ARLINGTON AVE STOP 1062",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142595",
            "telephone_number": "419-383-4585",
            "fax_number": "419-383-3112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3445 Beverly Dr Apt 4",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436144125",
            "country_code": "US",
            "telephone_number": "419-787-9122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HITES",
        "first_name": "TARA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-27",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD.10061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.