Individual provider Active NPI

Patricia Campbell Nitzsche, RDLD

  • Registered Dietitian
  • Kent, OH
National Provider Identifier
1538356514
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1126 Issued in OH
Practice address
401 Devon PL
Diabetes Care and Education
Kent, OH 44240-6482
Phone
(330) 677-1552
Fax
(330) 677-1345
NPI assigned
Oct 3, 2007
Last updated
Oct 3, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

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 1126 OH Primary

Addresses

Primary practice location

401 Devon PL
Diabetes Care and Education
Kent, OH 44240-6482

Mailing address

6847 N Chestnut St
Health Education Department
Ravenna, OH 44266-3929
Phone (330) 677-1552

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
1126OHMDRehabilitation Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191369600000",
    "number": "1538356514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6847 N CHESTNUT ST",
            "address_2": "HEALTH EDUCATION DEPARTMENT",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663929",
            "telephone_number": "330-677-1552",
            "fax_number": "330-677-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 DEVON PL",
            "address_2": "DIABETES CARE AND EDUCATION",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442406482",
            "telephone_number": "330-677-1552",
            "fax_number": "330-677-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NITZSCHE",
        "first_name": "PATRICIA",
        "middle_name": "CAMPBELL",
        "name_prefix": "Mrs.",
        "credential": "RDLD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "1126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.