Active NPI
Julie Kennel, PHD, RD, LD
- Registered Dietitian
- Columbus, OH
National Provider Identifier
1568590263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 893130
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5283 | OH | MD | Clinical Psychologist |
| 893130 | OH | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Current | 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.