Individual provider Active NPI

Julie Kennel, PHD, RD, LD

  • Registered Dietitian
  • Columbus, OH
National Provider Identifier
1568590263
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
893130 Issued in OH
Practice address
1492 E Broad St
East Tower, 12TH Floor
Columbus, OH 43205-1546
Phone
(614) 685-9994
Fax
(614) 685-9993
NPI assigned
Mar 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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 893130 OH Primary

Addresses

Primary practice location

1492 E Broad St
East Tower, 12TH Floor
Columbus, OH 43205-1546

Mailing address

1492 E Broad St
East Tower, 12TH Floor
Columbus, OH 43205-1546
Phone (614) 685-9994

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5283OHMDClinical Psychologist
893130OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nourish, Inc. Dietitian, Registered CurrentSince Jan 15, 2024 Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Locations

1390 Market St
Ste 200
San Francisco, CA 94102
Phone (415) 864-4482

500 Westover Dr
Sanford, NC 27330
Phone (478) 766-4000

3724 Jefferson St
Ste 104
Austin, TX 78731
Phone (512) 399-9039

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": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1568590263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1492 E BROAD ST",
            "address_2": "EAST TOWER, 12TH FLOOR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432051546",
            "telephone_number": "614-685-9994",
            "fax_number": "614-685-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 E BROAD ST",
            "address_2": "EAST TOWER, 12TH FLOOR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432051546",
            "telephone_number": "614-685-9994",
            "fax_number": "614-685-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEL",
        "first_name": "JULIE",
        "name_prefix": "Dr.",
        "credential": "PHD, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "893130",
            "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 Jan 31, 2013; 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.