Organization Active NPI

The Healthy Diabetic

  • Durable Medical Equipment & Medical Supplies
  • Milford, OH
National Provider Identifier
1508971839
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1278917 Issued in OH
Legal business name
THE HEALTHY DIABETIC
Practice address
1000 Ford Cir
Suite B
Milford, OH 45150-2732
Phone
(513) 248-8250
NPI assigned
Aug 19, 2006
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
Beverly Sue Risner
Title
Managing Member
Phone
(513) 248-8250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1278917 OH Primary

Addresses

Primary practice location

1000 Ford Cir
Suite B
Milford, OH 45150-2732

Mailing address

1000 Ford Cir
Suite B
Milford, OH 45150-2732
Phone (513) 248-8250

Other identifiers 1

IdentifierTypeStateIssuer
2294182MedicaidOH

National Provider Directory

National Provider Directory

Locations

1000 Ford Cir
Ste B
Milford, OH 45150
Phone (513) 248-8250

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508971839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 FORD CIR",
            "address_2": "SUITE B",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451502732",
            "telephone_number": "513-248-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 FORD CIR",
            "address_2": "SUITE B",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451502732",
            "telephone_number": "513-248-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALTHY DIABETIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RISNER",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "513-248-8250"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "1278917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2294182",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, 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.